摘要
急性胰腺炎(AP)伴急性肾损伤(AKI)病死率高,早期诊断至关重要。由于肌酐只有当肾小球滤过率下降50%时才逐渐升高,因此依据肌酐、尿量等生理生化指标来诊断AKI时往往失去治疗时机。超声、CT、MRI及核医学等影像检查方法在肌酐及尿量发生变化之前就能监测到腹腔压力、肾脏血流动力学及肾组织氧供等改变。就上述影像检查方法在AP相关性AKI早期诊断的价值及研究进展予以综述。
Acute pancreatitis(AP)with acute kidney injury(AKI)has a high mortality rate.Therefore,early diagnosis is very crucial.Given the fact that the creatinine gradually increases only when glomerular filtration rate drops by 50%,the best intervention time has often been missed when AKI is diagnosed by serum creatinine and urine output.Imaging examinations such as Ultrasound,Computed tomography(CT),Magnetic resonance imaging(MRI)and Nuclear medicinecan detect changes in intra-abdominal hypertension,renal hemodynamics and renal tissue oxygen metabolism.These changes often appear before creatinine and urine output changes in the kidney.This review is focus on the progress of imaging examination in the early diagnosis of AP-related AKI.
作者
王燕
余贤恩(审校)
WANG Yan;YU Xian’en(Graduate School of Youjiang Medical University for Nationalities,Baise 533000,China;Department of Gastroenterology,People’s Hospital of Baise,Southwest Hospital of Youjiang Medical University for Nationalities)
出处
《国际医学放射学杂志》
北大核心
2020年第6期702-706,共5页
International Journal of Medical Radiology
关键词
急性胰腺炎
急性肾损伤
超声
体层摄影术
X线计算机
磁共振成像
核医学
Acute pancreatitis
Acute kidney injury
Ultrasound
Tomography,X-ray computed
Magnetic resonance imaging
Nuclear medicine
