《胰腺疾病》课件.ppt

Clinical Findings Imaging study CT and US show a diffuse enlargement, necrosis, and ascites X-ray: isolated dilation of a segment of gut (sentinel loop) consisting of jejunum, transverse colon, or duodenum adjacent to the pancreas. Gas distending the right colon that abruptly stops in the mid or left transverse colon (colon cutoff sign) is due to colonic spasm 正常胰腺CT 胰腺动态CT 时间 1.31 2.2 2.9 2.17 2.27 3.17 胆源性胰腺炎  patch of saponification Essentials of Diagnosis Abrupt onset of epigastric pain, frequently with back pain Nausea and vomiting Elevated serum or urinary amylase Cholelithiasis or alco