作者分别复习了25例行CT检查的急性胰腺炎患者脾的体积的一系列改变。其中男性18例,女性7例,年龄25～83岁。在症状出现的3天内行初次CT检查,此后至少再行一次CT检查。急性胰腺炎的诊断基于典型的临床表现和血、尿淀粉酶水平。12例的病因为大量饮酒,6例为胆石症,2例为ERCP术后,2例Crohn病,1例高脂血症,2例病因不详。实验室资料表明6例患者为酒精性肝炎,另3例病理证实 The authors reviewed a series of changes in the spleen volume of 25 patients with acute pancreatitis undergoing CT examination. There were 18 males and 7 females, aged 25-83 years old. The first CT examination is performed within 3 days of symptom onset and at least one more CT examination thereafter. The diagnosis of acute pancreatitis is based on typical clinical manifestations and blood and urine amylase levels. The etiology of 12 cases was heavy drinking, 6 cases of cholelithiasis, 2 cases of ERCP, 2 cases of Crohn’s disease, 1 case of hyperlipidemia, and 2 cases of etiology. Laboratory data show that 6 patients with alcoholic hepatitis, and the other 3 pathological confirmed