重症急性胰腺炎并上消化道出血与CT严重度指数的相关性研究

The relevant study of severe acute pancreatitis complicated with upper gastrointestinal hemorrhage and the CT severity index

目的探讨CT严重度指数(CTSI)对重症急性胰腺炎(SAP)并发上消化道出血的预测价值。方法回顾性分析2003年1月-2008年1月我院收治的资料完整的SAP患者92例,15例SAP并发上消化道出血患者为出血组,77例无出血的SAP患者为对照组,均在48h内行螺旋CT及增强检查,予以CTSI评分。结果两组患者在CTSI差异有统计学意义(P<0.05),而在年龄、性别、SAP病因差异无统计学意义(P>0.05)。结论SAP并发上消化道出血与CTSI呈正相关。

Objective To study the predictive value of CT severity index （CTSI） . on upper gastrointestinal tract hemorrhage in patients with severe acute pancreatitis（SAP）Methods 92 cases with SAP treated from January 2003 to January 2008 were retrospectively analysed,15 cases of SAP with upper gastrointestinal hemorrhage as the bleeding group,77 cases of non-bleeding patients with SAP as the control group.The spiral CT and strengthen inspection were experimented during the first 48h and CTSI were scored.Results CTSI was statistical significant different between two groups（P〈0.05）,but there is no difference in age, gender propertion,SAP etiology（P〉 0.05）.Conclusion SAP complicated with upper gastrointestinal tract hemorrhage was positively correlated with CTSI.