Kivisaari L, Somer K, Standertskjöld-Nordenstam C G, Schröder T, Kivilaakso E, Lempinen M
Gastrointest Radiol. 1984;9(1):27-30. doi: 10.1007/BF01887796.
Twenty-eight consecutive patients with a first attack of alcohol-induced pancreatitis were studied using contrast-enhanced CT. The findings on CT were then related to the course of the disease. The patients with acute hemorrhagic-necrotizing pancreatitis showed significantly lower enhancement values of the pancreatic parenchyma than those with milder forms of the disease. The next 20 patients with severe pancreatitis were scanned using a slightly modified procedure. The enhancement values were calculated and plotted on the graphs for the 2 former groups. Two categories of pancreatic enhancement were found: "low enhancement" and "high enhancement." In all 10 patients with "low-enhancement" values surgery revealed hemorrhagic-necrotizing pancreatitis. In the 10 patients with "high-enhancement" values conservative treatment was continued, and the clinical course was nonfulminant in all of them.
对28例首次发作酒精性胰腺炎的连续患者进行了对比增强CT研究。然后将CT检查结果与疾病进程相关联。急性出血坏死性胰腺炎患者的胰腺实质强化值明显低于病情较轻的患者。接下来对另外20例重症胰腺炎患者采用略有修改的程序进行扫描。计算强化值并绘制在前两组的图表上。发现胰腺强化有两类：“低强化”和“高强化”。在所有10例“低强化”值的患者中，手术显示为出血坏死性胰腺炎。在10例“高强化”值的患者中继续进行保守治疗，他们所有人的临床病程均无暴发性。
