课件-急性胰腺炎.pptVIP

局部并发症：急性胰周液体或坏死物聚积、胰腺假性囊肿、包裹性坏死、胰腺脓肿、胸腔积液、胃流出道梗阻、腹腔出血、假性囊肿出血、坏死性结肠炎等。 全身并发性：器官功能衰竭、SIRS、全身感染、腹腔内高压、胰性脑病等 二、鉴别诊断1、消化性溃疡急性穿孔 2、胆石症 急性胆囊炎3、急性肠梗阻 4、心肌梗塞 * Slide 155 Mechanisms of gallstone pancreatitis proposed by Opie Two mechanisms of gallstone pancreatitis have been proposed. In the first, the stone obstructs the common opening of the common bile duct and pancreatic duct and allows reflux of bile into the pancreas. * 急性胰腺炎 Acute pancreatitis，AP [概述] 胰腺及其周围组织被胰腺分泌的消化酶自身消化所产生的急性化学性炎症，可使胰腺发生出血、坏死，且炎症迅速扩大，产生全身性炎症反