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会计学第一节解剖生理(shēnglǐ)概要第二节胰腺炎一、急性(jíxìng)胰腺炎致病原因(yuányīn)发病(fābìng)机制病理临床表现诊断LaboratoryfindingAmylaseandlipase(elevationsofamylasearemoresensitivebutlessspecificthanlipaseinthediagnosisofacutepancreatitis)500400300200100001H24H48H5DAYImagingfindingX-rayDilatedloopofsmallbowel(sentinelloop)Abruptcessationofgasinthedistaltransversecolon(coloncutoffsign)Radioopaquedensities(biliarycalculi)Left-sidedpleuraleffusionB-US:pancreaticedema,ascites----CT:Important•CTisthebestdiagnostictestforthediagnosisofacutepancreatitis.•Contrast-enhancedCTisexcellentfordiagnosisofpancreaticnecrosis诊断DiagnosisanddifferentialDiagnosisAcuteedematouspancreatitisandacutehemorrhagicnecrotizingpancreatitisOtherdiseasesAcuteappendtitisIleusPerforatedgastroduodenalulcerBiliarydiseaseRupturedhepatoma急性(jíxìng)胰腺炎的局部并发症AcutepancreatitisAgentstoinhibitpancreaticsecretionHavenotbeenfoundtobeusefulinalteringthecourseinacutepancreatitisSomatostatin(sandostatinstilamin)Glucagon.Proteaseinhibitors(trasylol)SurgicaltherapyInefficiencybyinternalmedicineComplication(pancreaticor/andperipancreaticInfectionandabscess)Combinedwitbiliarydiseases(GallstoneASP)DiagnosisunclearSurgicalapproachRresectionofnecrotictissueandperitoneallavagesevere,progressivenecrotizingpancreatitisorpancreaticabscess.Cholecystectomyrecurrentacutepancreatitisandmicrolithiasis.Surgicalsphincteroplastyofthepancreaticsphincterpancreaticsphincterdysfunctionoutcomeisthesameasfortheendoscopicpancreaticsphincterotomymoreinvasiverequiringlaparotomyandduodenotomy治疗治疗二慢性(mànxìng)胰腺炎病因(bìngyīn)病理(bìnglǐ)临床表现诊断(zhěnduàn)治疗(zhìliáo)第三节胰腺(yíxiàn)囊肿胰腺(yíxiàn)假性囊肿第四节胰腺癌和壶腹周围(zhōuwéi)癌一胰腺癌胰头癌诊断(zhěnduàn)治疗(zhìliáo)二壶腹周围(zhōuwéi)癌病理(bìnglǐ)诊断(zhěnduàn)治疗胰岛素瘤内容(nèiróng)总结
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