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    Home > Active Ingredient News > Study of Nervous System > CT grade for acute pancreatitis

    CT grade for acute pancreatitis

    • Last Update: 2022-10-02
    • Source: Internet
    • Author: User
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    According to the Balthazar grading standard, acute pancreatitis can be divided into five grades


    Grade A: clear pancreatic boundaries, presence of peripancreatic fat gaps, and mild elevation


    Grade B: localized enlargement of the head, body, and tail of the pancreas or diffuse enlargement of pancreatic volume (including irregular pancreatic contour, uneven parenchymal density of the pancreas, localized effusion of small focal areas within the pancreas, and dilated pancreas), normal morphology of the fat gap around the pancreas, moderate elevation


    Grade C: abnormal pancreatic parenchymal morphology and density with inflammatory changes in peripancreatic fat, no obvious signs of fluid accumulation, hematuria amylase is significantly elevated, and urine amylase is more pronounced


    Grade D: multiple gaps around the pancreas, hematuria amylase tends to decrease


    Grade E: Fluid accumulation in 2 or more of the multiple spaces around the pancreas, or gas shadows in the pancreatic parenchyma and fat gap around the pancreas, the formation of pancreatic parenchyma or peripancreatic abscess, and the significant


    Grade A to C is a clinically diagnosed edema type, no serious comorbidities, good prognosis, can be cured or improved with treatment, and is a clinical mild pancreatitis


    According to the above grading studies, the diagnosis of grade A acute pancreatitis mainly depends on the results of body fluid examination such as clinical symptoms, signs, and changes in hematuria amylase; Acute pancreatitis B and C grade CT manifestations have a relatively clear specificity, and hematuria amylase can also be seen to be significantly improved, at this time the clinical diagnosis combined with CT manifestations and hemourinary amylase value changes are of great significance for the diagnosis; Acute pancreatitis D grade, E grade patients with local necrosis or abscess formation of the pancreas, hematuria amylase from a significant increase to a significant decrease, urine amylase is more significant, this change indicates that pancreatic inflammation caused by pancreatic glandular body destruction is excessive, pancreatic enzyme secretion function is significantly reduced, indicating the disease deterioration


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