抗生素课件课件(英文精品) Severe acute pancreatitis.pptVIP

Severe acute pancreatitis S_c7 ? Academy for Infection Management 2006 (All Rights Reserved) History 33-year-old male Alcohol binge: vodka Awake and conversant Severe abdominal pain, vomiting, dyspnoea Physical and laboratory examinations Temperature 38.1°C Pulse 96 bpm, respirations 20/min Blood pressure 110/70 mmHg Abdomen tender, distended, quiet Amylase 3500 IU/L Lipase 1100 IU/L AST 250 IU/L LDH 350 IU/L WBC count 16 000/mm3 Arterial blood gases: pH 7.30, PaCO2 32, PaO2 58, BE -5 Which evaluations would you perform to determine if the patient has severe pancreatitis? C-reactive prot