To evaluate early dynamic contrast enhancement CT on multiple organ failure in acute pancreatitis
10.3969/j.issn.1002-1671.2017.11.013
- VernacularTitle:动态增强CT早期评价急性胰腺炎多器官功能衰竭
- Author:
Yunchuan XIE
1
;
Liang XUE
;
Fugang HAN
;
Jian SHU
;
Guangcai TANG
;
Mingming DENG
;
Yongshu LAN
Author Information
1. 西南医科大学附属医院放射科
- Keywords:
acute pancreatitis;
organ failure;
computed tomograpgy
- From:
Journal of Practical Radiology
2017;33(11):1699-1702
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate early dynamic contrast enhancement CT on multiple organ failure in acute pancreatitis.Methods 333 cases of acute pancreatitis identified by clinical and early dynamic contrast enhancement CT were collected.Patients were divided into organ failure group(OF group,124 cases) and non-organ failure group (notn-OF group,209 cases).All variables including duration of hospitalization,need for intensive care unit,infection,need for operation,mortality and MCTSI,EPIC score were analyzed by U test and x2 test firstly.The variables with significance (P＜0.05) were analyzed by Stepwise Logistic regression further.Results On U test and x2 test,there were significant differences(P＜0.001) between two groups in duration of hospitalization,need for intensive care unit,infection,need for operation,mortality,MCTSI score and EPIC score and APFC + ANC＞ 100 mL,and bilateral pleural effusion/ pulmonary atelectasis.The Stepwise Logistic regression analysis demonstrated that increased MCTSI and EPIC score,APFC+ANC＞ 100 mL and bilateral pleural effusion/pulmonary atelectasis were 4 independent risk factors of multiple organ failure in acute pancreatitis.Conclusion Multiple organ failure in acute pancreatitis can be judged with early dynamic contrast enhancement CT for improved treatment.
