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胰腺疾病中山大學(xué)內(nèi)科學(xué)-文庫吧資料

2025-01-22 17:33本頁面
  

【正文】 n University 凌云彪 中山大學(xué)附屬第三醫(yī)院肝膽外科 PANCREAS The chapter includes: ?Summary of anatomy amp。 physiology ?Acute pancreatitis ?Chronic pancreatitis ?Pancreatic cyst ?Pancreatic cancer / Periampullary carcinoma ?Pancreatic endocrine tumors Location amp。 physiology Length: 1220cm Width: 34cm Weight: 75125g Blood supply Head: Gastroduodenal a.→ Ant. and post. sup. pancreaticoduodenal a. Sup. mesenteric a. → Ant. and post. inf. pancreaticoduodenal a. Body amp。 lymph drainage Lymph drainage by multiple node groups, mainly celiac nodes amp。 digestive enzymes/proenzymes ? endocrine pancreas: millions of islets 4 major cell types amp。 severe types What is it? benign disease, malignant prognosis Causes ? Biliary tract stones ? Ethanol abuse ? Hyperlipidemia ? Dietary factors ? Trauma, Surgery, ERCP ? Infection ? Drugs: thiazide diuretics, oral contraceptives ? Metabolic abnormalities Biliary tract stones Bile reflux theory Common channel theory stone Ethanol abuse – Increasing ductal pressure – Increasing pancreatic enzyme secretion – Direct injury to pancreatic acinar cells ? SIRS systemic inflammatory response syndrome ? MODS multiple an dysfunction syndrome Pre
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