急性胰腺炎和结核性腹膜炎

1、会计学1急性胰腺炎和结核性腹膜炎急性胰腺炎和结核性腹膜炎第1页/共82页第2页/共82页第3页/共82页第4页/共82页第5页/共82页第6页/共82页Biliary tract obstruction caused by a gallstone in the distal common bile duct. 第7页/共82页第8页/共82页F, 49 Y/O, there is much exudate between the gastric wall and the pancreatic parenchyma.F, 49 Y/O, the echoic foci was found in

2、the CBD with acoustic shadowing第9页/共82页第10页/共82页第11页/共82页第12页/共82页第13页/共82页第14页/共82页第15页/共82页第16页/共82页第17页/共82页第18页/共82页Picture 2. ERCP of pancreas divisum. Injection of contrast following cannulation of the minor ampulla (same patient as Picture 1) demonstrates filling of a separate larger duct of

3、Santorini, which drains the entire pancreatic body and tail. Picture 1. ERCP of pancreas divisum. Contrast injection following cannulation of the ampulla of Vater demonstrates filling of the common bile duct and a small pancreatic duct of Wirsung, which drains the pancreatic head. Picture 2.Picture

4、1第19页/共82页第20页/共82页第21页/共82页第22页/共82页手术与创伤手术与创伤内分泌与代谢障碍内分泌与代谢障碍感染感染药物药物第23页/共82页第24页/共82页第25页/共82页第26页/共82页第27页/共82页第28页/共82页第29页/共82页第30页/共82页第31页/共82页第32页/共82页第33页/共82页第34页/共82页第35页/共82页第36页/共82页第37页/共82页第38页/共82页第39页/共82页第40页/共82页第41页/共82页第42页/共82页第43页/共82页第44页/共82页第45页/共82页第46页/共82页血清肌酐血清肌酐尿肌酐尿肌

5、酐100100第47页/共82页第48页/共82页第49页/共82页第50页/共82页第51页/共82页第52页/共82页第53页/共82页第54页/共82页第55页/共82页第56页/共82页第57页/共82页第58页/共82页第59页/共82页RansonRanson标准标准第60页/共82页 SCORE: ABC第61页/共82页第62页/共82页第63页/共82页第64页/共82页第65页/共82页第66页/共82页第67页/共82页第68页/共82页第69页/共82页 Needle-knife papillotomy in patient with stone impacted in the papillary orifice. This is the easiest and safest setting in which to perform needle-knife precut. The stone delivers itself and biliary drainage is readily achieved. Freeman et.al GIE 2005 第70页/共82页第71页/共82页第72页/共82页第73页/共82页第74页/共82页第75页/共82页第