Adoption of Computerized Tomography Quantitative Imaging Data in the Evaluation of Severe Acute Pancreatitis by Pleural Effusion
In order to study the pleural effusion (PE) in Severe acute pancreatitis (SAP) in patients with the clinical value of diagnosis, in this study, 78 patients with SAP who were included in Shandong Jinan Municipal Hospital of Traditional Chinese Medicine from January 31, 2017 to December
30, 2019 were selected as the experimental group (EG) and 78 patients with mild acute pancreatitis (MAP) as the control group (CG). The PE was diagnosed by computerized tomography (CT) imaging technology, and the patients with PE in the two groups were divided into small group, medium group
and large group according to the volume of PE. The concurrent symptoms of SAP were recorded, and the relation between the occurrence of PE and the complications of SAP was analyzed by a multivariate Logistic regression model (LRM). It was concluded that the concurrent rate of PE in the EG
was greatly higher than that in the CG, and the number of cases in the medium and multiple groups was also greatly higher than that in the CG (P < 0.05). There were statistically significant differences (SSD) in acute renal failure, hypovolemic shock and pancreatic pseudocyst in
the PE small amount group, medium amount group and large amount group (P < 0.05). The complications of SAP in patients with acute renal failure, hypovolemic shock and pancreatic pseudocyst were positively correlated with age and PE (P < 0.05), which showed that CT could
present the PE more directly, which was beneficial to the diagnosis of SAP. In addition, the increased amount of PE indicated the aggravation of SAP and the occurrence of concurrent symptoms, which is helpful for early assessment of patients’ condition and prediction of poor prognosis
as an independent indicator to evaluate the early stage of SAP.
Keywords: CT Images; Complications; Multivariate LRM; PE; SAP
Document Type: Research Article
Affiliations: 1: Department of Outpatient, Shandong Jinan Municipal Hospital of Traditional Chinese Medicine, Jinan, 250012, China 2: Department of Emergency, Shandong Jinan Municipal Hospital of Traditional Chinese Medicine, Jinan, 250012, China 3: The Second Ward, Shandong Jinan Municipal Hospital of Traditional Chinese Medicine, Jinan, 250012, China 4: Department of Imaging, Shandong Jinan Municipal Hospital of Traditional Chinese Medicine, Jinan, 250012, China 5: Department of Emergency, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
Publication date: 01 August 2020
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