肝疾病外科学第八版_培训课件.pptxVIP

肝疾病Liver Disease学习要求掌握肝脓肿、肝癌的诊断和外科治疗。熟悉肝脏的解剖特点，细菌性和阿米巴性肝脓肿的鉴别诊断。了解肝囊肿、肝海绵状血管瘤的诊断和治疗原则。Surgical Anatomy标志血管肝门分叶分段Liver functions再生能力强缺氧耐受力差分泌胆汁代谢功能凝血功能解毒作用吞噬和免疫作用肝脓肿Liver abscessPathogenesisBiliary tree Hepatic artery Portal vein Nearby infection Trauma Clinical FeaturesFever and chillsRUQ pain and tenderness Hepatomegaly JaundiceNonspecific symptoms Lab. and imaging WBC,HGB Ultrasound, X-Ray, CTFNADifferential diagnosisAmebic live abscessIntrahepatic biliary infectionsCancer of the liverSubphrenic abscessTreatmentSupportive therapyEnergy and nutritionElectrodes and fluidBlood transfusio