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急性胰腺炎的CT診斷

目的 探討CT對急性胰腺炎的診斷價值。 方法 回顧性分析2007年3月-2009年10月收治的35例急性胰腺炎患者的CT照片。 結果 35例患者中CT診斷為急性水腫型胰腺炎26例(74.3%)，急性壞死型胰腺炎9例(25.7%)。CT主要表現胰腺體積增大31例，其中胰頭增大10例，胰體、尾單獨或同時增大21例，4例胰腺表現基本正常。單側或雙側腎前筋膜水腫增厚27例(77.1%)， 胰腺邊緣模糊、部分脂肪層消失20例(57.1%)，膽囊增大膽總管擴張17例(48.6%)，胰周蜂窩組織炎6例(17.1%)，合并左側胸腔積液5例(14.3%)，伴有少量腹水2例(5.7%)。 結論 CT檢查可以顯示胰腺自身腫大、壞死、出血，還能夠顯示胰外的腹腔、腹膜后腔以及腎筋膜的受累情況，可為臨床制定合理的治療方案并作出預后的判斷提供依據。

經內鏡逆行胰膽管造影術后胰腺炎預防進展

經內鏡逆行胰膽管造影（endoscopic retrograde cholangilpancreatography，ERCP）應用于臨床已有 40 余年，該微創內鏡介入技術的優點是將診斷和治療完美融于一體，隨著 ERCP 技術及設備的不斷發展，該技術已成為目前診斷和治療胰膽管疾病的重要手段之一。與此同時，ERCP 術后并發癥的發生以及如何有效防治也日益受到重視。其中 ERCP 術后胰腺炎（post-ERCP pancreatitis，PEP）是最常見的并發癥，該文就 PEP 的預防進展進行了綜述。

急性胰腺炎視網膜病變(附一例報告)

報告1例急性胰腺炎患者,患病10天后雙眼視力明顯減退,眼底后極部視網膜水腫、動脈細,有多數融合的棉絮狀斑,并散在少數出血斑.眼底熒光血管造影后發現視網膜小動脈有阻塞.復習急性胰腺炎視網膜病變的文獻,并結合病例進行簡要討論. （中華眼底病雜志，1993，9：176-177）

胰腺損傷20例診治體會

106例重癥急性胰腺炎臨床治療分析

胰、腎及十二指腸聯合移植術一例

Diagnosis and Treatment of Pancreatic Endocrine Tumors

慢性胰腺炎并高密度胰腺假性囊腫一例

CLINICAL STUDY ON EARLY POSTOPERATIVE ENTERAL NUTRITION IN PATIENTS WITH ACUTE HEMORRHAGIC NECROTIZING PANCREATITIS

To evaluate the feasibility, safety and effectiveness of enteral nutrition (EN) via jejunostomy in the early postoperative period in patients with acute hemorrhagic necrotizing pancreatitis (AHNP), 38 patients were divided into the early group (start EN 3 or 4 days after operation) and the later group (start EN 7 days after operation). All patients received parenteral nutrition at first, then were transited to EN. The enteral nutrition liquid was transfused by continuous drip via jejunostomy in both groups. Levels of serum amylase, blood glucose, as well as the liver function were used as indices of tolerance. Symptoms and physical signs of abdominal pain as well as the level of serum albumin were used as the indices of effectieness. Patients tolerated the therapy well in both groups. Moreover, they enjoyed an earlier correction of hypoalbuminemia with more quickly improved serum albumin and no abdominal pain. Starting enteral nutrition in the early postoperative period is feasible, safe and efficacious for acute hemorrhagic necrotizing pancreatitis patients. It plays an important role in treating AHNP and improving curing rate.

17例重癥胰腺炎并發成人呼吸窘迫綜合征診治體會