Acute Pancreatitis-Clinical FindingsSymptomsandsigns:AB1.Acute epigastric pain2.Nausea and vomiting3.Abdominaldistension,decreasedordisappearedbowelsoundsperitoneal irritation (+)4.Fever5.Jaundice, Grey Turner's sign,Cullen's sign6.Shock, ImpairedorganfunctionA.Cullen's signB.GreyTurner's sign
Acute Pancreatitis—Clinical Findings Symptoms and signs: 1.Acute epigastric pain 2. Nausea and vomiting 3.Abdominal distension, decreased or disappeared bowel sounds, peritoneal irritation（+） 4. Fever 5. Jaundice， Grey Turner‘s sign， Cullen's sign 6. Shock， Impaired organ function A. Cullen’s sign B. Grey Turner‘s sign
Acute Pancreatitis-Clinical FindingsLaboratory Findings:1. Blood and urine amylase and lipase12.Complete whiteblood cellcountt3.Blood sugar, blood lipids, liverfunction,electrolytes may beabnormal4.Bloodgasanalysis
Laboratory Findings: 1. Blood and urine amylase and lipase↑ 2. Complete white blood cell count↑ 3. Blood sugar, blood lipids, liver function, electrolytes may be abnormal 4. Blood gas analysis Acute Pancreatitis—Clinical Findings
Acute Pancreatitis-Clinical FindingsImagingStudies:1.b-ultrasonics:It can be seenthatthepancreas isdiffuselyenlargedand is easily disturbed by gas.Only a preliminary diagnosis, but valuableforthediagnosisofgallstones2.EnhancedCT:Diffuseenlargementofthepancreas,blurryborders,peripancreatic exudation,areas withreduced saponiferous densityinthepancreas,withmore obvious enhancement,whicharenecroticfoci3. Enhanced MRI :Diagnosis information similar to enhanced CT can beobtained
Imaging Studies： 1. b-ultrasonics：It can be seen that the pancreas is diffusely enlarged and is easily disturbed by gas.Only a preliminary diagnosis, but valuable for the diagnosis of gallstones 2. Enhanced CT：Diffuse enlargement of the pancreas, blurry borders, peripancreatic exudation, areas with reduced saponiferous density in the pancreas, with more obvious enhancement, which are necrotic foci 3. Enhanced MRI：Diagnosis information similar to enhanced CT can be obtained Acute Pancreatitis—Clinical Findings
Acute Pancreatitis-Clinical FindingsDiagnostic peritoneal puncture:Hemorrhagic peritoneal effusion can be drawn, and the content ofamylase in it is significantly increased, which is of great value for thediagnosis of Ap, but a negativeperitoneal puncture does not rule outthediagnosisofAP
Diagnostic peritoneal puncture: Hemorrhagic peritoneal effusion can be drawn, and the content of amylase in it is significantly increased, which is of great value for the diagnosis of AP, but a negative peritoneal puncture does not rule out the diagnosis of AP Acute Pancreatitis—Clinical Findings
Acute PancreatitisClinical FindingsDiagnostic criteria of severe pancreatitis :1.Clinical Findings of acute pancreatitis2.APACHE Ⅱ score≥83.BalthazarCT grade is grade II or above4.Ranson's prognostic criteria were ≥ 3
Diagnostic criteria of severe pancreatitis： 1.Clinical Findings of acute pancreatitis 2.APACHE Ⅱ score≥8 3.Balthazar CT grade is grade II or above 4.Ranson's prognostic criteria were ≥ 3 Acute Pancreatitis—Clinical Findings