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ID:19607120
大小:1001.17 KB
页数:22页
时间:2018-10-04
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1、我们毕业啦其实是答辩的标题地方Clinicalpracticeguideline:managementofacutepancreatitisRepoeterWeiruiRenGraduatestudentinHeibeiMedicalUniversityTherehasbeenanincreaseintheincidenceofacutepancreatitisreportedworldwide.Despiteimprovementsinaccesstocare,imagingandinterventionaltechniques,acutepancreatiti
2、scontinuestobeassociatedwithsignifcantmorbidityandmortality.Despitetheavailabilityofclinicalpracticeguidelinesforthemanagementofacutepancreatitis,recentstudiesauditingtheclinicalmanagementoftheconditionhaveshownimportantareasofnoncompliancewithevidence-basedrecommendations.Thisundersc
3、orestheimportanceofcreatingunderstandableandimplementablerecommendationsforthediagnosisandmanagementofacutepancreatitis.Thepurposeofthepresentguidelineistoprovideevidence-basedrecommendationsforthemanagementofbothmildandsevereacutepancreatitisaswellasthegallstone–inducedpancreatitis.M
4、ethodologyDiagnosisofacutepancreatitisAssessMentofseveritySupportivecareCONTANTSNutritionProphylacticantibioticsManagementofacutegallstonepancreatitisCONTANTSMethodologyItwasthebestoftimes,itwastheworstoftimes;itwastheageofwisdom,itwastheageoffoolishness.Methodology123Theguidelinewasd
5、evelopedundertheauspicesoftheUniversityofToronto.TheysearchedMedlineforguidelinespublishedbetween2002and2014usingtheMedicalSubjectHeadings“pancreatitis”and“clinicalpracticeguideline.”Thissearchidentifed14guidelinespublishedbetween2008and2014.AnotherelectronicsearchofMedlinewasperforme
6、dusingtheMedicalSubjectHeadings“pancreatitis,”“acutenecrotizingpancreatitis,”“alcoholicpancreatitis,”and“practiceguidelines”toupdatethesystematicreview.TheresultswerelimitedtoarticlespublishedinEnglishbetweenJanuary2007andJanuary2014.Thereferencesofrelevantguidelineswerereviewed.Up-to
7、datearticlesonacutepancreatitisdiagnosisandmanagementwerealsoreviewedfortheirreferences.DiagnosisofacutepancreatitisItwasthebestoftimes,itwastheworstoftimes;itwastheageofwisdom,itwastheageoffoolishness.1Diagnosisofacutepancreatitis(2ofthefollowing)•Abdominalpain(acuteonsetofapersisten
8、t,sev
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