Mehdi M, Deutsch J P, Arrivé L, Ayadi K, Ladeb M F, Tubiana J M
Service de Radiologie, Hôpital Saint-Antoine, Paris.
Ann Radiol (Paris). 1996;39(1):37-44.
The diagnosis of acute pancreatitis is based on clinical examination and basic laboratory tests. The main role of sonography in acute pancreatitis is to evaluate gallstones and small fluid collections. However, sonography is frequently difficult due to intestinal ileus related to pancreatitis. CT is indicated early in the clinical course of acute severe pancreatitis when the diagnosis is uncertain or when complications such as abscess, hemorrhage, or necrosis, are suspected. In addition, CT may be used to assess the prognosis and follow-up of patients.
急性胰腺炎的诊断基于临床检查和基本实验室检查。超声检查在急性胰腺炎中的主要作用是评估胆结石和小的液体积聚。然而，由于胰腺炎相关的肠梗阻，超声检查常常存在困难。在急性重症胰腺炎的临床过程中，当诊断不确定或怀疑有脓肿、出血或坏死等并发症时，应早期进行CT检查。此外，CT可用于评估患者的预后和随访。
