复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)徐三荣-急性胰腺炎 ACUTE PANCREATITIS

ACUTE PANCREATITIS Xu San rong Department of Gastroenterology Huashan Hospital Fudan university
1 ACUTE PANCREATITIS Xu San rong Department of Gastroenterology Huashan Hospital Fudan university

DEFINITION An acute inflammatory process of the pan creas usually associated with sever pain in the upper abdomen in most instances blood levels of pancrea tic enzymes are increased sever acute pancreatitis: organs failure and/or local complications(necrosis, absc ess, psuedocyst)
2 DEFINITION • An acute inflammatory process of the pancreas usually associated with sever pain in the upper abdomen • in most instances, blood levels of pancreatic enzymes are increased • sever acute pancreatitis: organs failure and/or local complications(necrosis, abscess, psuedocyst)

PATHOLOGY(1) Mild acute pancreatitIs(MAP) characterized by interstitial edema associ- ated with inflammatory cell within parench yma, and microscopic parenchyma necro sis can be detectable
3 PATHOLOGY(1) • Mild acute pancreatitis(MAP) characterized by interstitial edema associated with inflammatory cell within parenchyma, and microscopic parenchyma necrosis can be detectable

PATHOLOGY(2) Sever acute pancreatitis(SAP) Sever necrotizing pancreatitIs(SNP) macroscopic evidence of either focal or diffuse necrosis and hemorrhage of the pancreatic parenchyma
4 PATHOLOGY(2) • Sever acute pancreatitis(SAP) Sever necrotizing pancreatitis(SNP) macroscopic evidence of either focal or diffuse necrosis and hemorrhage of the pancreatic parenchyma

PATHOGENY AND PATHOGENESIS(1) 1 common channel and reflux of duodenal juice Ki nIn stems Sever pain gallstones elastase hemorrhage Bile →( trypsin reflux Trypsin chymotrypsin infection Phospho NipaseA2 Free fat erum Steatolvtic acid calcium enzymes
5 PATHOGENY AND PATHOGENESIS(1) 1 common channel and reflux of duodenal juice gallstones infection Bile juice reflux trypsin Kinin systems elastase Trypsin chymotrypsino PhospholipaseA2 Steatolytic enzymes Sever pain hemorrhage Free fat acid Serum calcium

PATHOGENY AND PATHOGENESIS(2) 2 alcoholic and overeat 3 obstruct of main pancreatic duct 4 diseases round the duodenum/ampullary region 5 postoperative pancreatitis and pancreatic trauma
6 PATHOGENY AND PATHOGENESIS(2) 2 alcoholic and overeat 3 obstruct of main pancreatic duct 4 diseases round the duodenum/ampullary region 5 postoperative pancreatitis and pancreatic trauma

PATHOGENY AND PATHOGENESIS(3) 6 infectious agents 7 medications: corticosteroids, estrogens 8 disorders of endocrinology and metabol ism: hyperparathyroidism, hyperlipidemia 9 others
7 PATHOGENY AND PATHOGENESIS(3) 6 infectious agents 7 medications: corticosteroids, estrogens 8 disorders of endocrinology and metabolism: hyperparathyroidism, hyperlipidemia 9 others:

PATHOGENY AND PATHOGENESIS(4) 6 inflammatory media theory In AP, the leukocytes that appear first in areas of inflammation are neutrophils, then macrophages, monocytes, lymphocytes and other cells. These cells can secrete a lot of inflammatory media (1)platelet activating factor, PAF 2)prostaglandins, PGs
8 PATHOGENY AND PATHOGENESIS(4) 6 inflammatory media theory In AP, the leukocytes that appear first in areas of inflammation are neutrophils, then macrophages, monocytes, lymphocytes, and other cells. These cells can secrete a lot of inflammatory media. (1) platelet activating factor, PAF (2)prostaglandins, PGs

PATHOGENY AND PATHOGENESIS(5) (3)leukotriens, LTS (4) kallikrein kinin systems, KKs (5)tumor necrosis factor-a, TNF-a (6)nitrogen monoxide, NO (7)complements 8)others: nuclear factor KB(NF-KB), toll like receptors(TLRs)
9 PATHOGENY AND PATHOGENESIS(5) (3) leukotriens, LTs (4) kallikrein kinin systems, KKS (5) tumor necrosis factor-, TNF- (6) nitrogen monoxide, NO (7) complements (8) others: nuclear factor B(NF- B), toll like receptors(TLRs)

DIAGNOSIS(1) Clinical characteristics 1 abdominal pain 2 fever 3 nausea and vomiting
10 DIAGNOSIS(1) • Clinical characteristics 1 abdominal pain 2 fever 3 nausea and vomiting
按次数下载不扣除下载券;
注册用户24小时内重复下载只扣除一次;
顺序:VIP每日次数-->可用次数-->下载券;
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)张顺财 - 黄疸鉴别 Differencial Diagnosis of Jaundice.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)张新-支气管肺癌.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)张斯为-肺心病 Chronic Pulmonary heart disease.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)姜林娣-类风关 RHEUMATOID ARTHRITIS(RA).ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)姚晨玲-镇静催眠药中毒 Toxicity, Sedative?Hypnotics.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)姚晨玲-急性一氧化碳中毒 Toxicity, Carbon Monoxide.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)周京敏-感染性心内膜炎 Infective Endocarditis.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)周京敏-心包疾病.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)吕玲-有机磷农药中毒 ORGANOPHORUS PESTICIDES POISONING.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)吕玲-多发性肌炎及皮肌炎.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)刘厚钰-消化总论 Digestive System.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)何礼贤-呼吸系统总论 Disease of Respiratory System Introduction.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)于明香 - 甲亢 Hyperthyroidism.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)严萍萍-心脏瓣膜病 valvular heart disease.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)严萍萍-主动脉瓣狭窄 aortic stenosis.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)丁小强-肾小球疾病 Glomerular Diseases.ppt
- 临床医学专业:《内科学》_内科学(七年制)大纲2006(上).doc
- 临床医学专业:《内科学》_内分泌和代谢系统.doc
- 临床医学专业:《内科学》_泌尿系统疾病.doc
- 临床医学专业:《内科学》_吕玲-有机磷农药中毒教案.doc
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)徐建民-出血性疾病 DISORDERS OF HEMOSTASIS.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)徐建民-特发性血小板减少性紫癜 DISORDERS OF HEMOSTASIS.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)於强 - Systemic Lupus Erythematosus(SLE).ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)於强-血管炎病的诊断与治疗 Vasculitides.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)施海明-心肌疾病.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)李勇-高血压诊断和治疗(从JNC-7和2003 ESC/EHC指南到临床实践).ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)李益明-甲状腺功能减退 Hypothyroidism.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)沈锡中-炎症性肠病(Inflammatory bowel disease,IBD).ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)王吉耀 - 肝硬化 Hepatic Cirrhosis.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)王吉耀-内科学绪论 INTRODUCTION TO INTERNAL MEDICINE.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)白春学-呼吸衰竭 Respiratory Failure.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)胡仁明-糖尿病 Diabetes Mellitus.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)胡必杰-肺炎 Respiratory Diseases Pneumonia.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)范维琥-心力衰竭 Heart failure.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)蔡映云-慢支肺气肿 COPD.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)谢彦辉-贫血概述 ANEMIA.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)谢毅-白血病 Leukemia.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)谢瑞满 - 骨质疏松症 Osteoporosis.ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)谢瑞满 - 骨质疏松症(Osteoporosis, OP).ppt
- 复旦大学附属中山医院:《内科学》课程教学资源(PPT讲稿)邹和健-风湿——血清阴性脊柱关节病(Serum RF negative spondylarthropathy).ppt