《重新认识胰腺炎》ppt课件.pptxVIP

重新认识犬胰腺炎 History 病史 • Signalment 临床表现 • Diet • Vomiting 饮食情况 呕吐 • History of pancreatitis 胰腺炎病史 • Diarrhea 腹泻 History 病史 • Signalment 临床表现 • Diet • Vomiting 饮食情况 呕吐 • History of pancreatitis 胰腺炎病史 • Diarrhea 腹泻 History 病史 • Signalment 临床表现 • Diet • Vomiting 饮食情况 呕吐 • History of pancreatitis 胰腺炎病史 • Diarrhea 腹泻 Knowing the LIMITATIONS of a test or procedure is often much more important than knowing what a procedure can do 了解某项检查或操作的局限性比了 解某项操作的作用更为重要 Physical Examination 体格检查 •Anterior abdominal pain 前腹部疼痛 • Icterus • Profuse ascites 黄疸 大量腹水 • • Fever SQ abscesses 发热 皮下脓肿 Physical Examination 体格检查 •Anterior abdominal pain 前腹部疼痛 • Icterus • Profuse ascites 黄疸 大量腹水 • • Fever SQ abscesses 发热 皮下脓肿 Physical Examination 体格检查 •Anterior abdominal pain 前腹部疼痛 • Icterus • Profuse ascites 黄疸 大量腹水 • • Fever SQ abscesses 发热 皮下脓肿 WHICH CBC(S) IS/ARE FROM DOG(S) WITH ACUTE PANCREATITIS? 哪份血常规结果是来自急性胰腺 炎患犬的？ 147033 147198 90524 159796 PCV WBC Segs Bands 28.5 30,000 26,100 900 28.8 45,500 33,670 2,730 30 9,800 4,606 2,450 40 11,500 9,890 0 Plat 87,000 407,000 679,000 470,000 Toxic mod mod none none 147033 147198 90524 159796 PCV WBC Segs Bands 28.5 30,000 26,100 900 28.8 45,500 33,670 2,730 30 9,800 4,606 2,450 40 11,500 9,890 0 Plat 87,000 407,000 679,000 470,000 Toxic mod mod none none Clinical Pathology 临床病理学 • An anorexic, vomiting dog with fasting hyperlipidemia probably has acute pancreatitis 患犬厌食、呕吐，突然出现高脂血症 可能患有急性胰腺炎 Clinical Pathology 临床病理学 • An anorexic, vomiting dog with fasting hyperlipidemia probably has acute pancreatitis 患犬厌食、呕吐，突然出现高脂血症可能患有急性胰腺炎 • Most dogs with pancreatitis DO NOT have fasting hyperlipidemia 大部分胰腺炎患犬并未突然出现高脂血症 Clinical Pathology 临床病理学 • Amylase/Lipase – Sensitivity ~ 50% – Specificity ~ 50% 淀粉酶/脂肪酶 敏感性-50% 特异性-50% • TLI 血清胰蛋白酶样免疫反应 – Sensitivity ~ 35% 特异性-35% Clinical Pathology 临床病理学 • Amylase/Lipase – Sensitivity ~ 50% – Specificity ~ 50% 淀粉酶/脂肪酶 敏感性-50% 特异性-50% • TLI 血清胰蛋