BMJ Best Practice
最后审核时间: 一月 2019
最近更新时间: 九月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 恶心
  • 呕吐
  • 厌食

其他诊断因素

  • Grey-Turner 征
  • Cullen 征
  • Fox 征
  • 沃斯特克征

危险因素

  • 中年女性
  • 青年至中年男性
  • 胆结石
  • 酒精

诊断性检查

首要检查

  • 血清脂肪酶
  • 血清淀粉酶
  • 谷草转氨酶/谷丙转氨酶
  • 全血细胞计数 (FBC) 和分类计数
全部具体信息

需要考虑的检查

  • 腹部 CT 扫描
  • 磁共振胰胆管造影术 (MRCP)
  • 内镜逆行胰胆管造影术 (ERCP)
  • 细针穿刺活检
全部具体信息

新兴检查

  • 尿胰蛋白酶原-2
  • 血清 IL-6
  • 血清 IL-8
全部具体信息

治疗流程

急性

贡献者

Associate Professor of Surgery

Department of Surgery

Indiana University

Indianapolis

IN

利益冲突披露
NJZ is an author of a reference cited in this monograph.

Dr Nicholas J. Zyromski would like to gratefully acknowledge Dr Brian Daley, Dr Catherine Lindsay McKnight, and Dr Fernando Aycinena, previous contributors to this monograph. He would also like to thank Dr Camille Blackledge for her contribution to this monograph. BD, CLM, FA, and CB declare that they have no competing interests.

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Assistant Professor of Medicine

Attending Physician and Director of Research

Columbia University Medical Center

New York

NY

利益冲突披露
TAG declares that he has no competing interests.

Harvard Medical Faculty Physician

Division of Gastroenterology

Beth Israel Deaconess Medical Center

Boston

MA

利益冲突披露
AM declares that he has no competing interests.

Consultant Hepatobiliary & Pancreatic Surgeon

Department of Surgery

North Manchester General Hospital

Manchester

UK

利益冲突披露
DOR is an author of a reference cited in this monograph. He declares that he has no other competing interests.

Professor

Department of Surgery

Division General Surgery

Shands Jacksonville Medical Center

FL

利益冲突披露
At the time of the peer review, Dr E. Frykberg declared no competing interests. We were made aware that Dr Frykberg is now deceased.

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