文档介绍：胰腺疾病编辑ppt解剖生理概要解剖头,颈,体,尾,钩突。主胰管(ductofWirsung)副胰管(ductofSantorini)胰腺分泌外分泌Exocrine内分泌EndocrineB,A,D,D1,ausesGallstones:60%(35–50%inUSA)Alcohol:14%%(60%inUSA)Duodenaljuicecountercurrentflow:SphincterofOddidysfunctionTraumaPancreascirculationdisorderOtherfactors:Drug:Azathioprine(硫唑嘌呤) .6-Mercaptopurine(6-巯基嘌呤),Pancreasdivisum(胰分裂),auseInfectiouscauses,ascarisworms蛔虫,HIV-----ecrotizingpancreatitis(acutehemorrhagicpancreatitis,acutenecrotizingpancreatitis)急性胰腺炎编辑pptPathophysiologyHypersecretionandobstructionSelf-enzymaticdigestionEnhancementofVesselpermibilityCytokine,ecrotizing急性胰腺炎编辑pptClinicalfindingAbdominalpainAbdominaldistentionNauseaandvomitingPeritonitisOther:Respiratoryfailure,confusion,-gradetomoderatefeverTachycardiaandhypotensionandShockMildjaundice,(Abdominaltenderness,reboundtendernessandrigidity)ShiftingdullnessDecreasedbowelsoundsCullen’sign:discolorationofperiumbilicalareaGreyTurner’sign:discolorationofflanks编辑ppt