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Cute pancreatitis is generally considered to be a diffuse disease of the pancreas. Acute pancreatitis with segmental involvement (briefly called segmental pancreatitis) was firstly described by Balthazar in 1985. He reported that 18.1% of patients with acute pancreatits had segmental involvement according to the computerized tomography.

bstract 急性脏炎一般被认为是整个脏的弥漫性发炎,但有少数脏炎的病人只有脏的一部份有发炎的现象(以下简称为节段性脏炎),此种现象首先於1985年为美国Balthazar所发现,在他的论文中提到,若以电脑断层妇描作为诊断的依据,有18.1%的病人有节段性脏炎。

Examples include trypsinogen and chymotrypsinogen, secrete d by the pancreas and converted by proteolysis in the small intestine into the active enzymes trypsin and chymotrypsin; and numerous coagulation factors.

这作用受不同的催化或受的活化型本身的催化。原细胞合成并贮存钝化型式的原。脏分泌的蛋白原及凝乳蛋白原在小肠内活化成蛋白及乳凝蛋白。

Examples include trypsinogen and chymotrypsinogen, secreted by the pancreas and converted by proteolysis in the small intestine into the active enzymes trypsin and chymotrypsin; and numerous coagulation factors.

原细胞合成并贮存钝化型式的原。脏分泌的蛋白原及凝乳蛋白原在小肠内活化成蛋白及乳凝蛋白。到中国译典经典版本中查找关于proteolysis的最新解释和例句。。。。

Use somatostatin after PD can restrain organism excrete diastase vera,and help anastomotic stoma to concrescent and decrease pancreatic leakage;pancreatic leakage should be treated by different grades,grade 1 can be cured by persistent drainage with somatostatin and nutritional support;grade 2 should be pay more energetic intervention.

PD后应用生长抑素持续泵入可以抑制酶的作用,使肠吻合口较好地愈合,从而有效地减少漏的发生;漏可进行分级治疗,Ⅰ级漏采用通畅引流为主,同时使用生长抑素和营养支持等治疗多可治愈,Ⅱ级漏需要积极治疗。

objective:to investigate the therapeutic action of somatostatin in pancreatic leakage after pancreaticoduodenectomy.methods: to collect 100 patients with pancreaticoduodenectomy during 2003~2006,contrast 44 patients use somatostatin after pancreaticoduodenectomy as experimental group,and 56 patients with conventional therapy as control group.results:there were no pancreatic leakage case in the modified group of 44 cases.3 cases complicating pancreatic leakage occurd in control group,and the proportion of pancreatic leakage are different examined by statistic mathord.conclusions:use somatostatin after pd can restrain organism excrete diastase vera,and help anastomotic stoma to concrescent and decrease pancreatic leakage;pancreatic leakage should be treated by different grades,grade 1 can be cured by persistent drainage with somatostatin and nutritional support;grade 2 should be pay more energetic intervention.

作者单位:潍坊医学院,潍坊 261042;潍坊市人民医院肝胆外科,潍坊 261042 目的:探讨生长抑素在十二指肠切除术后减少漏的作用。方法:收集2003年1月~2006年12月施行pd患者100例,术后应用生长抑素持续泵入病人44例,并与同期施行的pd术后常规应用全肠外营养及抗生素治疗病人56例,结果进行了对比观察。结果:实验组病人44例无1例发生漏,对照组56例病人,3例发生不同程度的漏,发生率5.3%,统计学比较有显著差异(p<0.05)。结论: pd后应用生长抑素持续泵入可以抑制酶的作用,使肠吻合口较好地愈合,从而有效地减少漏的发生;漏可进行分级治疗,ⅰ级漏采用通畅引流为主,同时使用生长抑素和营养支持等治疗多可治愈,ⅱ级漏需要积极治疗。

Pancreatic leak was verified in 8 out of 13 cases with pancreatic enucleation, 6 out of 10 cases with distal pancreatectomy with or without splenectomy and I out of 6 cases with central pancreatectomy.

摘除术13例中8例发生瘘,体尾脾切除术8例中6例发生痰,保留脾的体尾切除术2例均未发生瘘,中段腺切除术6例中有1例发生瘘。

Results Superanterior, inferoanterior, superposterior and inferoposterior pancreasduodenal arteries were the main blood vessels of the head of pancreas, but superanterior and inferoanterior pancreasduodenal arteries' distributions were fixed and convenient for discovery.

结果 头血运主要由十二指肠上前、上后动脉,十二指肠下前、下后动脉供应,且十二指肠上前、十二指肠下前动脉走行固定、易找。

AIM: To prevent postoperative pancreatic leakage by applying modified Child pancreaticojejunostomy in pancraticoduodenectomy patients due to severe pancreaticoduodenal injury.

目的:采用改良Child肠吻合对肠吻合缝合技术进行改进,对严重的头、十二指肠损伤患者急诊行十二指肠切除术,预防漏发生。

Results The frequency of multislice CT to display peri-pancreatic big arteries including celiac trunk, common hepatic artery splenic artery, gastroduodenal artery and superior mesenteric artery was 100% while that of small arteries including dorsal pancreatic artery, transverse pancreatic artery, pancreaticomegana artery, caudal pancreatic artery, superior pancreaticoduodenal artery and inferior pancreaticoduodenal artery was

结果 多层螺旋CT对正常腺周围大动脉(腹腔干,肝总动脉,脾动脉,胃十二指肠动脉,肠系膜上动脉)的显示率为100%,对小动脉(背动脉,横动脉,大动脉,尾动脉,十二指肠上动脉,十二指肠下动脉)的显示率为

Objective To evaluate the visualization of the abnormal small peripancreatic vessels in patients with pancreatic carcinoma using dual phase spiral CT and the value of peripancreatic vessels SCTA.

目的 探讨腺肿瘤时周小血管的异常改变和周血管SCTA临床价值。方法 2 0例腺肿瘤作了一次性屏气螺旋CT双期增强扫描,横断面观测周小血管的直径,并用动脉期扫描图像作SCTA ,进一步显示肿瘤对周血管和腺侵犯的空间解剖关系。

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