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1、内容提要n正常胰腺影像表现n慢性胰腺炎影像特征n鉴别诊断7/26/20241慢性胰腺炎诊疗和鉴别诊疗7/26/20242慢性胰腺炎诊疗和鉴别诊疗7/26/20243慢性胰腺炎诊疗和鉴别诊疗7/26/20244慢性胰腺炎诊疗和鉴别诊疗7/26/20245慢性胰腺炎诊疗和鉴别诊疗n慢性胰腺炎?n分类?7/26/20246慢性胰腺炎诊疗和鉴别诊疗n慢性胰腺炎是指胰腺泡和胰岛组织萎缩、胰腺实质广泛纤维化的病理过程。常伴有钙化及假性囊肿形成。n 钙化性、阻塞性、自身免疫性7/26/20247慢性胰腺炎诊疗和鉴别诊疗7/26/20248慢性胰腺炎诊疗和鉴别诊疗nM 43 慢性胰腺炎:慢性腹泻、特殊类型糖尿
2、病;酒精性脂肪肝 7/26/20249慢性胰腺炎诊疗和鉴别诊疗7/26/202410慢性胰腺炎诊疗和鉴别诊疗n慢性胰腺炎胰管扩张,右肾周血肿7/26/202411慢性胰腺炎诊疗和鉴别诊疗慢性胰腺炎:1.急性发作(酒精源性+胆源性)2.并发胰腺假性囊肿7/26/202412慢性胰腺炎诊疗和鉴别诊疗n慢性胰腺炎假性囊肿7/26/202413慢性胰腺炎诊疗和鉴别诊疗7/26/202414慢性胰腺炎诊疗和鉴别诊疗7/26/202415慢性胰腺炎诊疗和鉴别诊疗7/26/202416慢性胰腺炎诊疗和鉴别诊疗7/26/202417慢性胰腺炎诊疗和鉴别诊疗7/26/202418慢性胰腺炎诊疗和鉴别诊疗7/26
3、/202419慢性胰腺炎诊疗和鉴别诊疗7/26/202420慢性胰腺炎诊疗和鉴别诊疗7/26/202421慢性胰腺炎诊疗和鉴别诊疗7/26/202422慢性胰腺炎诊疗和鉴别诊疗7/26/202423慢性胰腺炎诊疗和鉴别诊疗7/26/202424慢性胰腺炎诊疗和鉴别诊疗7/26/202425慢性胰腺炎诊疗和鉴别诊疗7/26/202426慢性胰腺炎诊疗和鉴别诊疗n鉴别诊断7/26/202427慢性胰腺炎诊疗和鉴别诊疗7/26/202428慢性胰腺炎诊疗和鉴别诊疗男性,48岁,主诉:突发上腹部剧烈疼痛2天7/26/202429慢性胰腺炎诊疗和鉴别诊疗上腹痛1月,急性胰腺炎伴假性囊肿形成7/26/20
4、2430慢性胰腺炎诊疗和鉴别诊疗外伤性胰腺炎7/26/202431慢性胰腺炎诊疗和鉴别诊疗7/26/202432慢性胰腺炎诊疗和鉴别诊疗7/26/202433慢性胰腺炎诊疗和鉴别诊疗7/26/202434慢性胰腺炎诊疗和鉴别诊疗7/26/202435慢性胰腺炎诊疗和鉴别诊疗7/26/202436慢性胰腺炎诊疗和鉴别诊疗7/26/202437慢性胰腺炎诊疗和鉴别诊疗7/26/202438慢性胰腺炎诊疗和鉴别诊疗7/26/202439慢性胰腺炎诊疗和鉴别诊疗7/26/202440慢性胰腺炎诊疗和鉴别诊疗7/26/202441慢性胰腺炎诊疗和鉴别诊疗7/26/202442慢性胰腺炎诊疗和鉴别诊疗7/26/202443慢性胰腺炎诊疗和鉴别诊疗7/26/202444慢性胰腺炎诊疗和鉴别诊疗7/26/202445慢性胰腺炎诊疗和鉴别诊疗小结n慢性胰腺炎:萎缩、钙化、胰管扩张n胰腺假性囊肿鉴别n肿块性慢性胰腺炎与胰腺癌鉴别7/26/202446慢性胰腺炎诊疗和鉴别诊疗