pable Abdominal Mass ? Acute Pancreatitis ?Imaging Evaluation of Patients with Acute Abdominal Pain and Fever ?Suspected Liver Metastases ?Imaging mendations for Patients with Dysphagia ?Screening for Colorectal CancerРRadiologic Exam Procedure?Ultrasound ?Intravenous puted Tomography ?Gadolinium ic Resonance Imaging ?ic Resonance CholangiopancreatographyРAppropriateness Rating ?8?8?5?5РAppropriateness Criteria Scale?1 2 3 4 5 6 7 8 9 ? 1=Least appropriate 9=Most appropriateР腹部超声:对确定胰腺炎病因是最有用的初步诊断试验和发现胆结石的诊断技术,对胰腺炎的敏感性为70-80%,但是不能确定疾病的严重性。Р增强CT或增强MRI:?用于评估胰腺坏死,胰腺周围炎和积液。?仅适用于临床、生化和生理指标提示疾病严重、低APACHE II评分者。?无前瞻性研究证实常规进行影像学检查会改善预后。?腹部CT:? 对轻度胰腺炎无指征,除非怀疑肿瘤。? 指征:重症胰腺炎,评估并发症,极少需要在?72小时内进行,除非诊断不能确定。Р男性,35岁,发热伴胸痛、呼吸困难入院,?查体:左侧胸部叩诊,中下份为实音,呼吸音消失,语音传导障碍。?诊断:结核性胸膜炎?常规抗结核治疗: RFP+INH+SM+PZ? 抽胸水Р例2: 治疗循证
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