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目的:探究急性胰腺炎中的CT临床诊断价值。方法:选取2015年1月—2015年12月期间收取的21例急性胰腺炎患者,按照胰腺炎诊断标准进行分级,分析其治疗的效果和病死率。结果:21例患者经过CT检查结果显示:13例(61.90%)患者诊断为急性单纯性胰腺炎,其中Ⅰ级2例患者,Ⅱ级3例患者,Ⅲ级5例患者,Ⅳ级3例患者;8例(38.10%)患者诊断为急性出血性坏死性胰腺炎,其中Ⅳ级5例患者,Ⅴ级3例患者;以上全部患者采用CT检查分级进行评估和诊断患者的病情,通过常规治疗后,19例(90.48%)患者病情好转,已经康复出院,2例患者无效(9.52%),好转率是90.48%,所有死亡患者均属于Ⅴ级。结论:对急性胰腺炎的患者早期进行诊断,完全可以应用CT的方式,该种诊断方法不仅能准确的判断患者病情、类型,而且操作简单,为后续治疗提供有利的诊断依据,该方法值得临床推广和应用。
Objective: To explore the clinical value of CT in the diagnosis of acute pancreatitis. Methods: Twenty-one patients with acute pancreatitis collected from January 2015 to December 2015 were selected according to the diagnostic criteria of pancreatitis. The therapeutic effect and mortality were analyzed. Results: Twenty-one patients underwent CT examination. Thirteen patients (61.90%) were diagnosed as acute simple pancreatitis. There were 2 patients in grade Ⅰ, 3 patients in grade Ⅱ, 5 patients in grade Ⅲ and 3 patients in grade Ⅳ ; 8 patients (38.10%) were diagnosed as acute hemorrhagic necrotizing pancreatitis, including 5 patients in grade Ⅳ and 3 patients in grade Ⅴ. All the above patients were evaluated by CT grading and diagnosed. After routine treatment Nineteen patients (90.48%) were recovering from illness, and were discharged from hospital. Two patients were ineffective (9.52%) and the improvement rate was 90.48%. All the patients died in grade Ⅴ. Conclusion: The early diagnosis of patients with acute pancreatitis can be completely CT-based diagnosis of this method can not only accurately determine the patient’s condition, type, and simple operation, to provide a favorable basis for the follow-up diagnosis of the diagnosis, the method deserves clinical Promotion and application.