慢性胰腺炎诊治进展培训课件.ppt

1、慢性胰腺炎诊治进展慢性胰腺炎诊治进展慢性胰腺炎诊治进展2一、解剖生理概要一、解剖生理概要 慢性胰腺炎诊治进展3慢性胰腺炎诊治进展4慢性胰腺炎诊治进展5二、发病原因慢性胰腺炎诊治进展6三、病理三、病理慢性胰腺炎诊治进展7四、临床表现四、临床表现慢性胰腺炎诊治进展8慢性胰腺炎诊治进展9慢性胰腺炎诊治进展10五、并发症五、并发症慢性胰腺炎诊治进展11六、诊断六、诊断慢性胰腺炎诊治进展12慢性胰腺炎诊治进展13慢性胰腺炎诊治进展14五、治疗五、治疗慢性胰腺炎诊治进展16慢性胰腺炎诊治进展17慢性胰腺炎诊治进展18慢性胰腺炎诊治进展19慢性胰腺炎诊治进展20慢性胰腺炎诊治进展21Whipples pro

2、cedureThis is also known as a pancreaticoduodenectomy,where the gall bladder,common bile duct,duodenum,the head of the pancreas and the The stomachpylorus of the stomach areremoved.The stomach,common hepaticducts and the body and tail of the pancreas are joined independently on to the jejunum to res

3、tore continuity of the gut.慢性胰腺炎诊治进展22慢性胰腺炎诊治进展23慢性胰腺炎诊治进展24慢性胰腺炎诊治进展25慢性胰腺炎诊治进展26慢性胰腺炎诊治进展27持续性疼痛尽管/需要麻醉性镇痛剂控制疼痛戒酒 低脂肪 甘油三脂正常化 避免加剧病情的药物试用口服胰酶 酸抑制剂*1 moERCPERCP扩张的胰管考虑奥曲肽、腹腔神经丛阻滞胰腺空肠吻合术胰管狭窄或结石考虑内镜治疗非扩张性胰管考虑奥曲肽、腹腔神经丛阻滞胰腺切除慢性胰腺炎诊治进展28六、预后六、预后慢性胰腺炎诊治进展29七、预防七、预防慢性胰腺炎诊治进展30八、小结八、小结慢性胰腺炎诊治进展31慢性胰腺炎诊治进展32