胰腺疾病 中山大学 内科学ppt课件.pptVIP

LING YUNBIAO Department of Hepatobiliary Surgery, The 3rd Affiliated Hospital of Sun Yat-sen University 凌云彪 中山大学附属第三医院肝胆外科;The chapter includes:;Location region;Blood supply;Venous lymph drainage;Ducts:the duct of Wirsung/ main ductthe duct of Santorini/ accessory duct;Physiology;Acute pancraetitis ;Causes;Biliary tract stones;Ethanol abuse;;Presentation;Presentation;Laboratory;Imaging studies;;; Admission Age 55 yr WBC16000/mm3 Glucose 200 mg/dL LDH350 IU/L AST250 IU/L ;Differential diagnosis;The stages of course;Local complications;Treatment nonoperative therapy;Treatment nonoperative therapy;Treatment Surgical therapy;Treatment of severe pancreatitis ;Treatment of acute biliary pancreatitis;;Treatment of local complications;Chronic Pancreatitis Pancreatic Cyst;Periampullary Carcinoma ;Symptoms and signs upper abdominal pain (vague → severe, back pain) 70％ jaundice (painless) 80% weight loss 75％ Trousseau’s syndrome, Courvoisier’s sign others: nausea, vomiting, anorexia, steatorrhea, panceatitis, changes of stools, diabetes mellitus, etc Blood test bilirubin, alkaline phosphatase ↑↑, transaminase↑ CA19-9,CEA ;Imaging studies;Surgical procedures;;endocrine tumors of pancreas;THANKS