胰腺疾病教材教学稿件.pptVIP

胰 腺 疾 病;胰腺外科发展简史;2003-3;胰腺的淋巴引流;共同通道;胰腺生理概要;胰腺的神经;? 急性胰腺炎 慢性胰腺炎 ? 胰腺癌 ? 壶腹周围癌 胰腺内分泌肿瘤;Acute Pancreatitis;Pathogenesis;Classification ;Clinical manifestation;Laboratory findings;Imaging modalities for diagnosis;*;stone ;2003-3;2003-3;Early (2-3d) Systemic Cardiovascular，pulmonary，renal，metabolic Intermediate (2-5w) Septic Abdominl，pancreatic，retroperitoneal Pancreatic / peripancreatic fat necrosis Pseudocysts Late (Months) Vascular /hemorrhagic;Complications;局部并发症;急性液体积聚;胰腺及胰周组织坏死;2003-3;急性胰腺假性囊肿;胰腺脓肿;2003-3;2003-3; multiple organ dsysfuction syndrome (MODS);Prediction of severity;Classification system;Inflammatory mediators C-reactive protein(CRP) Upstream cytokines: IL-6,IL-8 Trypsinogen activation markers TAP;Clinical classification ;SAP的临床诊断;SAP的严重度分级;SAP的病程分期;Treatment;Management strategies;Conservative treatment (Non-operative);Acute reaction phase;General infection phase;Residual infection phase;Nutritional management;;Surgical intervention indication;; Obstuctive jaundice or cholangitis Urgent Urgent ERCP /EST/NBD Without biliary complications Non-beneficial for urgent intervention Suspected retained stones Electively intervention;急性胰腺炎治疗原则;2003-3;2003-3;Chronic Pancreatitis;2003-3;慢性胰腺炎的治疗;2003-3;2003-3;2003-3;Thanks !