期刊文献+

儿童急性胰腺炎的CT表现 被引量:1

CT Features of Acute Pancreatitis in Children
下载PDF
导出
摘要 目的:探讨儿童急性胰腺炎的CT特征及其CT检查价值。材料和方法:回顾性分析58例临床确诊的急性胰腺炎病例的临床和CT资料。结果:单纯水肿型胰腺炎43例(占74.1%),出血坏死型胰腺炎15例(占25.9%)。儿童胰腺炎CT表现包括:①胰腺本身改变:胰腺局部或弥漫性增大46例(占79.3%),密度改变18例(占31%),胰腺断裂2例(占3.4%),胰腺包膜掀起6例(占10.3%)。②胰外改变:主要为胰外积液,共38例占(65.5%)。胰外积液中以肾旁前间隙积液最多,有30例(占51.7%),小网膜囊积液次之,为26例(占44.8%)。③并发症:包括假性囊肿14例(占24.1%)、脓肿1例(占1.7%)等。结论:儿童胰腺炎胰腺坏死的发生率低,并发假性囊肿、脓肿较少,但胰外积液的发生率高。CT对儿童胰腺炎的诊断、病情监测、治疗评估等都有很大意义。 Purpose: To explore the CT features and the value of CT examination for diagnosising acute pancreatitis in children. Materials and Methods: The clinical and CT examination data of 58 cases, who were finally diagnosed acute pancreatitis in children, were retrospectively analyzed. Results:Among the 58 patients, 43 cases (74. 196 ) were diagnosed as mild acute pancreatitis(acute edematous pancreatitis), and the other 15 cases(25.9% ) were severe pancreatitis(acute hemorrhagic and necrotized pancreatitis). The CT features of pancreatitis in this group included pancreatic abnormalities, extrapancreatic abnormalities and complications. The pancreatic abnormalities included as follows- partial or entire enlargement of the pancreas(46 cases, 79.3%), focal areas of decreased attenuation(18 cases, 31%), pancreatic fracture(2cases, 3.4% ) and peripancreatic capsule lifting(6 cases, 10.3 %). Thirty - eight cases (65.5%) were associated with extrapancreatic fluid collections. Extrapancreatic fluid collection was most commonly seen in the anterior pararenal space(30 cases, 51.7% ), followed by the lesser sac(26 cases, 44.8% ) . The complications included pseudocysts(14cases, 24.1% ), abscess(1case, 1.7% ), and so on. Conclusion: The incidences of necrosis, pseudocyst and abscess associated with pancreatitis is low in children, while the extrapancreatic fluid collection is frequently detected. CT examination is of great value in diagnosing, monitoring and assessing the pancretitis in children.
出处 《中国医学计算机成像杂志》 CSCD 2007年第2期105-109,共5页 Chinese Computed Medical Imaging
关键词 胰腺炎 急性 儿童 体层摄影术 X线计算机 Acute, Pancreatitis Children Tomography, X - Computed
  • 相关文献

参考文献12

  • 1Balthazar EJ.Acute pancreatitis:assessment of severity with clinical and CT evaluation.Radiology,2002,223:603-613
  • 2诸福棠.实用儿科学(第6版)[M].北京:人民卫生出版社,2000.2234.
  • 3Choi BH,Lim YJ,Yoon CH,et al.Acute pancreatitis associated with biliary diease in children.Gastroenterol Hepatol,2003,18:915-921
  • 4DeBanto JR,Goday PS,Pedroso MR,et al.Acute Pancreatitis in children.Am J Gastroenterol,2002,97:1726-1731
  • 5储波,周莎,徐亚珍,蒋丽蓉.儿童急性胰腺炎的病因和诊治探讨[J].上海第二医科大学学报,2005,25(11):1110-1112. 被引量:8
  • 6Blickman JG.Pediatric Radiology:the Requisites.St Louis,Mo:Mosby-Year Book,1994.104-106
  • 7Davenport M.Acute and chronic panreatitis.Indian J Pediatr,2002,69:801-807
  • 8Rau B,Buchler M.Surgical treatment of infected necrosis.World J Srug,1997,21:155-156
  • 9Darrell VD,Jabra AA,Fishman EK.Pancreatic disease in children and young adults:evaluation with CT.Radiographics,1998,18:1171-1187
  • 10闵鹏秋.急性胰腺炎病变及其扩散途径的CT表现[J].中国医学计算机成像杂志,2002,8(4):238-242. 被引量:52

二级参考文献28

  • 1王丽.早期肠内营养在急性胰腺炎治疗中的意义[J].临床消化病杂志,2004,16(4):175-176. 被引量:6
  • 2程留芳,蔡逢春.急性胰腺炎的内镜下介入治疗[J].中国实用内科杂志,2004,24(12):713-715. 被引量:9
  • 3[1]Creutzfelt W. Schmidt H. Aetiology and pathogenesis of pancreatitis. Scand J Gastroenterol 1970;5:47 ~ 62
  • 4[2]Editorial. Mechanism of pancreatic auto digestion. N Engl J Med 1970;283:487 ~ 488
  • 5[3]Silverstein W, Isikoff MB, Hill MC, et al. Diagnostic imaging of acute pancreatitis: prospective study using CT and sonography. AJR 1981;137:497
  • 6[4]Jordan GL, Spjut HJ.Hemorrhagic pancreatitis. Arch Surg 1972;104:489
  • 7[5]Lawson DW, Daggett WM, Givetta JM, et al. Surgical treatment of acute necrotizing pancreatitis.Ann Surg 1970;172:605
  • 8[6]Baker R J, Duarte B.The current status of recognition and treatment of severe necrotizing pancreatitis. Surg Ann 1986 18:129
  • 9[7]Kune GA, King R. The late complications of acute pancreatitis:pancreatic swelling,cyst and abscess. Med J Aust 1973;1:1241 ~ 1246
  • 10[8]Crass RA, Meyer AA, Jeffrey RB, et al. Pancreatic abscess: impact of computerized tomography on early diagnosis and surgery. Am J Surg 1985;150:127 ~ 131

共引文献62

同被引文献11

  • 1薛平,黄宗文,赵建蕾,郭佳.小儿急性胰腺炎的文献研究[J].临床儿科杂志,2005,23(10):748-749. 被引量:18
  • 2廖家智,王家.美国急性胰腺炎临床指南(诊断部分)[J].临床内科杂志,2007,24(2):136-139. 被引量:66
  • 3Sanchez Ramirez C A, Larrosa-Haro A, Flores Martinez S,et al. Acute and recurrent pancreatitis in children: etiological factors[J]. Acta Paediatr,2007,96(4) :534--537.
  • 4Morinville V D, Barmada M M, Lowe M E. Increasing incidence of acute pancreatitis at an American pediatric tertiary care center: is greater awareness among physicians responsible? [J]. Pancre as, 2010,39(1) :5--8.
  • 5Timothy B L, Anthony C C, Jayant R. pancreatitis in children: spectrum of disease and predictors of severity[J]. Pediatr Surg, 2011,46(6) :1144--1149.
  • 6Rau B, Uhl W, Buchler M, et al. Surgical treatment of infected necrosis[J]. WoridJ Surg, 1997, 21(2):155-161.
  • 7Balthazar E J, Ranson J H C, Naidich D P, et al. Acute pancrea- titis : prognostic value of CT[J]. Radiology, 1985,156 ( 3 ) :767 -- 772.
  • 8Balthazar E J, Robinson D L, Megibow A J, et al. Acute pan- creatitis : value of CT in establishing prognosis[J]. Radiology, 1990,174(2) :331--336.
  • 9De Waele J J, Delrue L, Hoste E A,et al. Extrapancreatic in flammation on abdominal computed tomography as an early pre dictor of disease severity in acute pancreatitis-evaluation of a new scoring system[J]. Pancreas, 2007,34(2) : 185-190.
  • 10祝益民,刘芳,周小渔,游洁玉,胥志跃,杜玉开.儿童急性胰腺炎的临床特征分析[J].中华儿科杂志,2011,49(1):10-16. 被引量:24

引证文献1

二级引证文献9

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部