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目的总结重症急性胰腺炎(SAP)并发腹腔室隔综合征(ACS)的CT特点。方法分析9例SAP合并ACS的CT表现。结果SAP合并ACS的CT表现为多间隙大量渗液;脏器受压移位,血管受压变形;肠壁肿胀,肠管郁张;胰实质坏死、出血及“圆腹征”阳性。上述多个征象的同时出现对提示诊断有意义。结论CT是诊断SPA并发ACS的重要影像学手段,能对SPA并发ACS进行早期提示。
Objective To summarize the CT features of patients with severe acute pancreatitis (SAP) complicated with abdominal compartment syndrome (ACS). Methods CT findings of 9 patients with SAP complicated with ACS were analyzed. Results The CT manifestations of SAP combined with ACS showed a large number of exudate with multiple gaps. The organ was displaced by pressure and suffered from vascular compression and deformation. The swelling of the intestinal wall and intestine were impaired. The parenchymal necrosis of the pancreas and hemorrhage were positive. Simultaneous appearance of the above multiple signs makes sense for prompt diagnosis. Conclusion CT is an important imaging modality for diagnosis of complicated ACS with SPA. It can prompt early presentation of SPA complicated with ACS.