胰腺--幻灯片.pptVIP

胰腺 THE NORMAL PANCREAS正常胰腺 pancreatitis胰腺炎 Pancreatic carcinoma胰腺肿瘤 Pancreatic metastases胰腺转移瘤 Cysts胰腺囊肿 Pancreatic Ttransplant胰腺移植 * Transverse section (TS) showing the normal pancreas 横切面显示正常的胰腺 (B) Longitudinal section (LS) oblique to the right of midline, demonstrating the head of pancreas, P, with the common bile duct (CBD) running through it. 向右偏斜的纵切面显示胰头部，可以看见胆总管绕行。 (C) LS at the midline, demonstrating the body of pancreas. 纵切面显示胰体部 (D) LS angled through the left lobe of the liver towards the tail of pancreas (p). 偏向左肝的纵切面显示胰头部。 (C) (D) (E) Water in the stomach, ST, provides a window through which to view the pancreas. 胃里充满水，为显示胰腺提供了透声窗。 (F) The main pancreatic duct (arrow) is normally up to 2 mm in diameter (arrow = CBD). 主胰管的正常内径是小于2mm。 (E) (F) （A）Pancreas in a young person, demonstrating normal hypoechogenicity. 一个青年人的胰腺，显示正常胰腺为低回声。 (B) The normal adult pancreas is slightly more echogenic than the liver. 一个正常成年人的胰腺，回声较肝脏稍高。 (C) The pancreas becomes hyperechoic in an older patient. 在老年人的胰腺回声变的更高了。 Acute pancreatitis in a patient with alcoholic liver disease. The pancreas is hypoechoic and bulky with a lobulated outline. 一个患有酒精性脂肪肝患者得了急性胰腺炎，胰腺体积增大，回声减低，轮廓呈分叶状。 (B) Large pseudocyst near the tail of the pancreas in acute pancreatitis. 急性胰腺炎患者在胰尾部可见一个巨大假性囊肿。 (C) Necrotic tail of pancreas surrounded by exudate. 胰尾部由于胰液的分泌导致的坏死。 (D) Inflammatory exudate is seen around the right kidney in acute pancreatitis 急性胰腺炎患者在右肾周围见炎性渗出物。 (E) Splenic and portal vein thrombosis is a complication of pancreatitis. 胰腺炎患者的并发症有脾静脉及门静脉的血栓。 (F) A dilated pancreatic duct (arrow) filled with blood in haemorrhagic pancreatitis. 胰腺炎患者出血导致的胰管的扩张。 (G) ERCP: a patient with chronic pancreatitis has a dilated proximal pancreatic duct. ERCP显示慢性胰腺炎患者的近端胰管的扩张。 Chronic pancreatitis in a patient with alcoholic cirrhosis; the pancreas is hyperechoic compared with the liver and has a heterogeneous texture with a lobulated outline. 有酒精性脂肪肝患者得了慢性胰腺炎，与肝脏相比，呈高回声，但是内部回声不均匀，轮廓呈分叶状。 (B) Calci