重症急性胰腺炎胸部损害的影像学表现

Imaging observation of chest damage in the patient of severe acute pancreatitis

目的通过回顾性研究,探讨重症急性胰腺炎(SAP)胸部损害的影像学表现,提高其对SAP预后及临床治疗价值的认识,为进一步提高诊治能力提供依据。方法选我院2002年1月1日～2009年12月31日就诊的临床与CT诊断的50例重症急性胰腺炎患者,观察其X线全胸正位片与胸部CT片,统计其并发症发生情况并对结果进行分析。结果 50例患者中全胸正位片、胸部与下胸部CT片显示胸腔积液的患者共有45例(90.00%),其中单侧20例,双侧25例;心包积液3例;下肺炎变1 5例(单侧5例,双侧10例);下肺盘状肺不张18例(单侧6例,双侧12例);肺水肿1 6例,1 5例发展为成人呼吸窘迫综合征(ARDS),3例死亡患者。结论重症急性胰腺炎胸部影像学表现判断重症急性胰腺炎的病变严重程度有重要意义,应作为一种常规的检查方法推广应用。

Objective Retrospective study of severe acute pancreatitis（SAP）imaging findings of chest injury and improve their prognosis and clinical treatment of SAP awareness of the value,in order to provide a basis to further improve diagnosis and treatment capabilities.Methods In our hospital on Jan.1,2002 December 31-2009 visits in the clinical and CT diagnosis of 50 cases of severe acute pancreatitis,observed the whole chest X ray film and chest CT anteroposterior films,statistics of its concurrent disease occurrence and analysis of the results.Results 50 patients,thoracic anteroposterior film,chest and lower chest CT film showed a pleural effusion of patients with a total of 45 cases（90.00%）,of which 20 cases of unilateral,bilateral 25 cases;pericardial effusion in 3 cases;under Variable pneumonia in 15 cases（unilateral in 5 cases,bilateral in 10 cases）;lower lung atelectasis in 18 cases（6 cases of unilateral,bilateral in 12 cases）;pulmonary edema in 16 cases,15 patients developed adult respiratory distress syndrome（ARDS）,3 patients who died.Conclusion Severe acute pancreatitis severe chest imaging to judge the severity of acute pancreatitis is important,should be used as a routine examination method to promote application.