胰性脑病四川大学华西医院2015课件

r lipase >3 times the upper limit of normal, 胰腺酶水平胰腺酶水平>3 >3 倍正常值的上限倍正常值的上限 3.con 3.con ?? rmatory rmatory ?? ndings ndings from from crosssectional crosssectional imaging analysis. imaging analysis. 影像学支持影像学支持 Risk factors Age Obesity Risk factors AP ? Comorbid illnesses Alcohol 60 years of age or older cancer, heart failure, and chronic kidney and liver disease BMI>30 kg/m2 chronic alcohol consumption increases the risk of severe pancreatitis 3-fold and mortality 2-fold 临床分型 1. 1.根据病理学分型: 根据病理学分型: 间质水肿性胰腺炎间质水肿性胰腺炎坏死性胰腺炎坏死性胰腺炎 2. 2.根据临床严重程度分型: 根据临床严重程度分型: 轻度急性胰腺炎轻度急性胰腺炎 MAP MAP : : 无器官衰竭、无局部或全身并发症无器官衰竭、无局部或全身并发症; ; 中度重症急性胰腺炎中度重症急性胰腺炎 MSAP MSAP 一过性器官衰竭( 一过性器官衰竭( <48 h <48 h )伴有局部或全身并发症)伴有局部或全身并发症; ; 重症急性胰腺炎重症急性胰腺炎 SAP SAP 持续性器官衰竭( 持续性器官衰竭( > 48 h > 48 h ) ), ,多伴有胰腺坏死。多伴有胰腺坏死。