漫谈重症胰腺炎诊治指南talkaboutTheguidelineofSAPaftertea,马应杰,胰腺解剖与生理,长15厘米头颈尾体二腰五脐枕肠抵脾内外分泌糖脂必需分泌升余碱性胰液,胰腺炎-概述,急性胰腺炎轻症急性胰腺炎重症急性胰腺炎暴发性急性胰腺炎慢性胰腺炎,病理分期,胞内酶活化间质炎症胰腺外炎症,急性胰腺炎-病因,胆源性酒精性特发性高脂血症性高钙血症药物和毒素创伤、手术、ERCP后Oddi括约肌功能不全、壶腹周围憩室缺血性:血管炎、血管硬化感染:病毒、细菌、寄生虫病自身免疫,Acommonmnemonicforthecausesofpancreatitisis:“IGETSMASHED,anacronymforIdiopathicGallstones,Ethanol(alcohol),Trauma,Steroids,Mumps,Autoimmune,Scorpoinbite,Hyper-(calcemiaandtriglyceridemia),ERCPandDrugs.,IGETSMAHESD,急性胰腺炎-诊断要点,1.临床表现腹痛:是本病的主要症状,常位于中上腹,可向左