胰腺炎诊治指南PPT课件.pptVIP

漫谈重症胰腺炎诊治指南 talk about The guideline of SAP after tea;胰腺解剖与生理;胰腺炎--概述;病理分期;急性胰腺炎--病因;急性胰腺炎--诊断要点;;急性胰腺炎--诊断要点;急性胰腺炎--诊断要点;急性胰腺炎--诊断要点;3.影象检查 （1）CT：对急性胰腺炎的诊断有重要价值CTSI(CT severity index) Balthazar CT分级 得分 A 胰腺正常 0 B 胰腺肿胀 1 C 胰腺异常伴胰周改变 2 D 单区液体聚积 3 E 多区液体聚积 4 ;;急性胰腺炎--诊断条件;急性胰腺炎分期;急性胰腺炎病情判断;Scoring: CT grade + Necrosis Necrosis Score None (0) 1/3 (2) 1/3 but 1/2 (4) 1/2 (6) CT Grade A = normal pancreas (0) B = edematous pancreas (1) C = B + mild extrapancreatic changes (2) D = severe extrapancreatic changes and 1 fluid collection (3) E = multiple or extensive fluid collections (4) ;Balthazar score and CTSI;;The Severity of the Acute Pancreatitis Classifying and Evaluation;重症急性胰腺炎内科规范治疗建议（09年中国）;BISAP, Ranson, APACHE-IIandCTSI ;急性胰腺炎并发症;急性胰腺炎--处理要点;急性胰腺炎--处理要点;急性胰腺炎--处理要点;急性胰腺炎--处理要点;急性胰腺炎--处理要点;重症急性胰腺炎(SAP);生化检查;BUN 9mmol/L impaired mental status SIRS The systemic inflammatory response syndrome (SIRS) defined by the presence of 2 of the following criteria: – pulse .90 beats/min – respirations .20/min or PaCO2 ,32 mmHg – temperature .38uC or ,36uC – WBC count .12 000 or ,4000 cells/mm3 or .10% immature neutrophils Age60 years pleural effusion (BISAP). One point is assigned for the presence of each of the following during the first 24 h ;具体措施;黎介寿院士关于SAP的点评;黎介寿院士关于SAP的点评;SAP的免疫调控;SAP的免疫调控;SAP的免疫调控;SAP的免疫调控;SAP的免疫调控;SAP的连续性血液净化治疗 ;SAP的连续性血液净化治疗;SAP的腹腔高压与腹腔开放治疗;SAP的腹腔高压与腹腔开放治疗;SAP的腹腔高压与腹腔开放治疗;SAP的腹腔高压与腹腔开放治疗;SAP与ICU ;综合治疗—王春友 ;综合治疗—王春友;综合治疗—王春友;胆源性胰腺炎内镜治疗----李兆申;胆源性胰腺炎内镜治疗----李兆申;胆源性胰腺炎内镜治疗----李兆申;胆源性胰腺炎内镜治疗----李兆申;胆源性胰腺炎内镜治疗----李兆申;SAP感染 ;SAP感染;SAP感染;SAP感染;营养支持;营养支持;参考文献;; Thank you for Your listenning 漫谈重症胰腺炎诊治指南 talk about The guideline of SAP after tea;胰腺解剖与生理;胰腺炎--概述;病理分期;急性胰腺炎--病因;急性胰腺炎--诊断要点;;急性胰腺炎--诊断要点;急性胰腺炎--诊断要点;急性胰腺炎--诊断要点;3.影象检查 （1）CT：对急性胰腺炎的诊断有重要价值CTSI(CT severity index) Balthazar C