医学课件 ERCP在胆胰疾病中的应用课件.ppt

**************低氧血症和心血管意外发生率1%。危险因素大部分与患者的基础疾病有关。术前须常规心电、血压、血氧饱和度监护；有严重的低氧血症(Sa0290%)及心血管事件应及时处理。其他取石网篮嵌顿；碎石网篮断裂；气胸、纵隔气肿；肝脓肿、肠梗阻、结肠憩室穿孔；EST取石后胆管结石复发率增加。美国消化内镜学会(AmericanSocietyofGastrointestinalEndoscopy,ASGE)、美国国立卫生研究院(NationalInstitutesofHealth,NIH)ERCP临床应用指南GastrointestEndosc2005,62∶12009年中华医学会消化內镜分会ERCP学组胆总管结石的ERCP诊治指南胆管良恶性狭窄的ERCP诊治指南胰腺疾病的ERCP诊治指南预防高危因素ERCP并发症不可怕早期诊断及早治疗小结ERCP在胆胰疾病的诊疗中发挥重要作用ERCP是消化内镜中难度最大、风险最大手术要严格掌握ERCP适应症和禁忌症ERCP必须由经过严格训练内镜医师操作要努力提高ERCP插管成功率，降低ERCP术后并发症****25XenicalSlideKitAugust1998Section125Slide25:PsychologicalimpactofobesityObesityhasaprofoundeffectonthequalityoflifeoftheindividualpatient.Thelimitationsimposedbymusculo-skeletal,respiratoryandcardiovasculardisordersarefrequentlycompoundedbythepsychologicalconsequencesofobesity(lowself-esteem,depressionandsocialisolation).Prejudiceanddiscriminationaddtothemiseryoftheobesepatientandcontributetothegenerallylowerlevelsofacademicachievementandemploymentopportunitiesamongstobesepatients.Thequalityoflifeismadepoorerbyreducedsexualactivity.********25XenicalSlideKitAugust1998Section125Slide25:PsychologicalimpactofobesityObesityhasaprofoundeffectonthequalityoflifeoftheindividualpatient.Thelimitationsimposedbymusculo-skeletal,respiratoryandcardiovasculardisordersarefrequentlycompoundedbythepsychologicalconsequencesofobesity(lowself-esteem,depressionandsocialisolation).Prejudiceanddiscriminationaddtothemiseryoftheobesepatientandcontributetothegenerallylowerlevelsofacademicachievementandemploymentopportunitiesamongstobesepatients.Thequalityoflifeismadepoorerbyreducedsexualactivity.**25XenicalSlideKitAugust1998Section125Slide25:PsychologicalimpactofobesityObesityhasaprofoundeffectonthequalityoflifeoftheindividual