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1、我们毕业啦其实是答辩的标题地方Clinicalpracticeguideline:managementofacutepancreatitisRepoeterWeiruiRenGraduatestudentinHeibeiMedicalUniversity1Therehasbeenanincreaseintheincidenceofacutepancreatitisreportedworldwide.Despiteimprovementsinaccesstocare,imagingandinterventionaltechniques,a
2、cutepancreatitiscontinuestobeassociatedwithsignifcantmorbidityandmortality.Despitetheavailabilityofclinicalpracticeguidelinesforthemanagementofacutepancreatitis,recentstudiesauditingtheclinicalmanagementoftheconditionhaveshownimportantareasofnoncompliancewithevidence-bas
3、edrecommendations.Thisunderscorestheimportanceofcreatingunderstandableandimplementablerecommendationsforthediagnosisandmanagementofacutepancreatitis.Thepurposeofthepresentguidelineistoprovideevidence-basedrecommendationsforthemanagementofbothmildandsevereacutepancreatiti
4、saswellasthegallstone–inducedpancreatitis.2MethodologyDiagnosisofacutepancreatitisAssessMentofseveritySupportivecareCONTANTS3NutritionProphylacticantibioticsManagementofacutegallstonepancreatitisCONTANTS4MethodologyItwasthebestoftimes,itwastheworstoftimes;itwastheageofwi
5、sdom,itwastheageoffoolishness.5Methodology123TheguidelinewasdevelopedundertheauspicesoftheUniversityofToronto.TheysearchedMedlineforguidelinespublishedbetween2002and2014usingtheMedicalSubjectHeadings“pancreatitis”and“clinicalpracticeguideline.”Thissearchidentifed14guidel
6、inespublishedbetween2008and2014.AnotherelectronicsearchofMedlinewasperformedusingtheMedicalSubjectHeadings“pancreatitis,”“acutenecrotizingpancreatitis,”“alcoholicpancreatitis,”and“practiceguidelines”toupdatethesystematicreview.TheresultswerelimitedtoarticlespublishedinEn
7、glishbetweenJanuary2007andJanuary2014.Thereferencesofrelevantguidelineswerereviewed.Up-todatearticlesonacutepancreatitisdiagnosisandmanagementwerealsoreviewedfortheirreferences.6DiagnosisofacutepancreatitisItwasthebestoftimes,itwastheworstoftimes;itwastheageofwisdom,itwa
8、stheageoffoolishness.71Diagnosisofacutepancreatitis(2ofthefollowing)•Abdominalpain(acuteonsetofapersist
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