急性胰腺炎的CT诊断

Computed tomgraphy in the acute pancreatitis

急性胰腺炎为常见急腹症之一，轻重不一，从单纯性水肿型到出血坏死型。本文综合各派观点，描述ＣＴ扫描对其诊断的重要性。根据作者的ＣＴ分型，观察胰腺炎的治疗及预后的关系，Ⅰ、Ⅱ型并发症和死亡率较低，Ⅲ、Ⅳ型并发症和死亡率均较高。因此，及时进行ＣＴ扫描和外科治疗甚为重要。

Abstract Acut e pancreatitis is one the common acute abdomens. The severity of this diease varies considerblely from simple edematic form to hemo-necrotizing form.The authors describe the importance of CT scans for the evaluation of acute panreatitis on the basis of opinions from different authors. A CT grading is proposed and analysed in correlation with surgical treatment and clincal prognosis. Grade 1 and 2 have comparatively lower rates of complication and mortality than grade 3 and 4.Therefore prompt CT scans should be an important choice for acute pancreatitis in preoperative diagnosis as well as in surgical treatment.