多层螺旋CT 联合降钙素原、动静脉血二氧化碳分压差对急性胰腺炎严重程度的早期评估价值

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Abstract Objective To explore the value of multi-slice spiral CT (MSCT) combined with procalcitonin (PCT) and pressure (central venous-arterial) carbon dioxide (P[cv-a] CO2) in early assessment of acute pancreatitis (AP) severity.Methods A total of 129 AP patients admitted to Fengcheng People's Hospital from August 2019 to August 2021 were selected as the study subjects,all patients were confirmed through pathological examination,among them 62 cases of severe acute pancreatitis (SAP)were included in the SAP group,67 cases of mild acute pancreatitis (MAP)were included in the MAP group,at the same time,116 healthy individuals who underwent physical examinations at Fengcheng People's Hospital were selected as the control group.All subjects underwent MSCT,PCT and P(cv-a) CO2 testing.The levels of PCT and P(cv-a) CO2 in three groups were compared.Pathological examination was used as the diagnostic gold standard,the diagnostic efficacy of MSCT,PCT,P(cv-a)CO2 detection alone and combined detection in AP were analyzed.Results The levels of PCT and P(cv-a)CO2 in the SAP group were higher than those in the MAP group and control group,the levels of PCT and P(cv-a) CO2 in the MAP group were higher than those in the control group,the differences were statistically significant (P＜0.05).The sensitivity and accuracy of the combined detection of MSCT,PCT,and P(cv-a) CO2 were all higher than those of the three indicators tested separately,the differences were statistically significant(P＜0.05).Conclusion MSCT combined with PCT and P(cv-a) CO2 can effectively evaluate the severity of AP patients and has high application value for early diagnosis of AP.It can be widely used in clinical practice.

Key words： Acute pancreatitis Multi-slice spiral CT Procalcitonin Pathological examination

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