摘要
坏死性胰腺炎为急性胰腺炎的严重形式,其特征为胰腺实质坏死和并发症多,死亡率高,缺乏特异性诊断方法和估计预后的指标。本文根据122例CT表现,提出一个分类方法并观察其与预后的关系。其中,Ⅰ类31例,无并发症,预后佳;Ⅳ类并发症多,预后差,6例均死亡;Ⅱ、Ⅲ类85例,死亡23例,占27.06%。本文结果显示CT可作为评估预后的方法。
ecrotic pancreatitis is a serious type of acute pancreatitis. It is characterized bynecrosis of parenchyma of the pancreas and invading of the surrounding tissue withvarious complications and high mortality.There is no special diagnotic proceduresand prognostic prodictors for this disease.Here a CT classification of the disease isproposed according to our analysis of 122 cases.31 cases were classified as group Ⅰ,without any complication and with good outcome.6 cases were classified as group Ⅳ. All of them died due to sevcre complications.85 cases belonged to group Ⅱ and groupⅢ,in which 23 cases(27.06%)died.The result of this study indicated that CT scancould be used to predict the outcome of acute neerotic pancreatitis.
出处
《上海医学》
CAS
CSCD
北大核心
1994年第12期696-698,共3页
Shanghai Medical Journal