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目的：探讨ＣＴ对急性胰腺炎的诊断价值。材料与方法：对５０例经手术病理证实和ＣＴ复查确诊的急性重症胰腺炎进行回顾性分析。全部病例作平扫，其中６例加作增强。检查前不口服造影剂。结果：水肿型２７例，坏死型２３例，其中８例合并感染。均有较典型的ＣＴ表现，肿胀出现率最高，４５例（９０％）；其次为胰外渗液，４２例（８４％）；再其次为胰腺坏死，２３例（４６％）。结论：ＣＴ检查对急性重症胰腺炎具有较高诊断价值，高于超声，不仅能明确诊断而且有助临床定量，可发现并发症和判断预后。
Objective: To investigate the diagnostic value of CT in acute pancreatitis. Materials and Methods: A retrospective analysis was performed on 50 cases of acute severe pancreatitis diagnosed by pathology and CT. All cases were plain scan, of which 6 cases plus for enhancement. Before examination, no oral contrast agent. Results: 27 cases were edematous and 23 cases were necrotic, of which 8 cases were complicated with infection. There were more typical CT findings with the highest incidence of swelling, 45 (90%); followed by pancreatic exudate, 42 (84%); followed by pancreatic necrosis, 23 (46%). Conclusion: CT examination of acute severe acute pancreatitis has a higher diagnostic value, higher than ultrasound, not only a clear diagnosis but also to help clinical quantitative, complications can be found and prognosis.