Dẫn lưu dịch viêm áp xe tụy dưới hướng dẫn cđha

DAN LUU DICH VIEM! AP XE

TUY DUOTHUONG DAN CDHA

Bi cov NGUYTEHI NKH

Nhom chan doan vi can tgp ti lúa
Trung tim Điện Quang- BV Bach Mat

HOLNGH SIEU AM TOAN QUOC LAN THU shu WSU,

THEA NATIONAL CONGRESSF VIETNAMESE SOCIETY OF ULTRASOUND NMEDCINE

Tp ul gy 0-09 thing 3 hm 00 Hue ly, arch BH, aah

NOLDUNG

HETERO RUN

HH0 IIHUHNIHTEUEURS.NITIRINNUUINH
OCU TORRE

——

NTT

HINH ANH VIEMTUY'CAP VA BIEN CHUNG

HINH ANH VIEM TU CAP

Acute Pancreatitis

Mo alk Lat

phases

tk mm and

02100090 ))/ Oa | Ta

Nac Sam OT

lessth4a8nh longerthanBh

vs sas Ì \tttừiný

Complications
rT ans Ta pA A St) Sts

HINHLANH VIEM TY CAP

|, Siéu Am viem fuy cip

*Chan dodn viém tuy cap

+Rat hutkh ctim hsou mat

Dano Ing» astiesiaS(201$}

HINH ANH VIEM TY CAP

1 CLYT vig ty ip

+ (lún de dinh pat Coan vat cd big chime

CT som dave khuyveenn nh Kh chin od khon chi chin bode nh nyt bo bien ching sim
* Hoat and ty cothe ta bientén CLT tim thud sa thi dem kt phat> 1h 9 CT
st c the gy thin in vmnit dO nhiém tong vehihiachia vim II

Mrnddpnudnildlanit0ttkdtptoglis

HINH ANH VIEMTUY CAP

Vid uy cp the phi

70-40% BN’ vem ty

+n ty cpt phd ae th bin
thucng tren CLIT

hips!adoll boomyenaasncess tacuae pnutna

Viem tuy cap the hog tr"AhA4/9 IÌNIÀMIVIIMIIY

CAP

+ Chim 0-0 sO BN vi yi

"Tinh trang lu ti cua mo tuy hode mo quad tuy

+ Hoi i ty ving ng bo km gi thud sum

+ Hut m uh ty: ot dich tng King dng it

bsnl hdmen ncaa unas

3 MRI vig ty cap IÌ\I4VIW1(Y(lP

TIW, TOW, DIWADC

TIC: tong ty CECT trong vig xtc dh vlog ty boa tv em nn the

+ TAWA: quan rong, pin bit dich dam hun bay ohn phn oa ibn

tong
MRCP:

+ Gip xd doh su gidndoan cla ing tuy, dc bit rong teuomg bop oat tu tung

tim

+Xée dnmin qun gay dhva i ty
+ Xéedinh bin thgi phaob th yu dn dnvi tyci ya it)
+ Ratny tong xn ii vib ung mi dn denvi cp

{

hp nợ Gin,

HINH ANH VIEM TY CAP

3, MRI viem tuyci

+ Uuvit hon CLVT khi phn bit tu dih dom thn och

hoat tt dac

HINH ANH VIEM TU CAP

HINHANH VIEMTUY CAP

BIEN CHUNG VIEM TUY CAP

(ritld

+i tring ty hai
* Hoat tung tim
* Gi phinh mach
+ Haytkoi h mgh

l

Diao aging» Castes, 3215)

1 Ci tu dich BILN CHUNG VIEM TUY CAP

Acute Pancreatts-Flud Collections Aut Prana Colton Acute Noi Colleton

ItersttalPanceatts I\erdtilyfatrelli

Tg Ty

Acute tt
Peripanceatc Ne 004

Colleton Ce

Bag ya deny

BẠN Wel defined

iN) AC Adjacent to pancreas

MI | f Cn Nononiuld component

ny)

MÍ\(IÚN¿VIW1I\(ÁP

11 Dich idm ip tinh quan tuy (APEC) Â

* Q)dich xung quan uy va len lùi tát cau

tre linc (khoang can thin tre)

+ 5a tu et, con a ten ten thanh nang gia

ta (đàn)

+ Dong aha, trụ thù) Không c \0

BILN CHUNG VIEM THY CAP

1.2 Dich hog t cp tinh (acute neeote clletion- ANC)

mm

»

+ (dich cha cht long vachat hoa! f TƯ AC)|

* Nam trong/ngoa tuy (co xu buon lan rong ) V w

* Dich gta ty trong khong dong nhat bén trong

o0 phan dong t trong mah boa ta cde phan

and gam (tt,

elma Cd 4 nh 009):
Ml a ut cc oan yr crt

BILN CHUNG VIEM THY CAP

1.3 Nang gia tuy (Pseudocyst-PPC)

«Dich di In -bao boc bot vo xo khong

tt bà nô
+(hindi lng au amylaseva khdngoo

man vu rn

8-700 t thot Lu

BIL CHUNG VIEM TUY CAP

14 Dich hogi tr tuy c6 v0

(Walled-off necrosis - WON)

(tu dich 00 vo boo chia dich, hu m0

tum quan uy boat

Citi Hott khong hoa long
oothe limting nguy ocvai thing

BILN CHUNG VIEM TYY CAP

), Hoa ti bie tring

+ La su niem tring nu md ty huy tử luật mo

and godt tuy: ANC nhiem tring, WON nhiem

ting.

* Thuong sy ra vio tan thir? bo 4 ma it kh
ty ton in du

+La bien ching ch aghiém tong cia VIC

Hoa ti

* Chan doan kh co ki trén CT (4) hod no
ay dic ravi Khun

BIEN CHLING VIEM TY CAP

3, Hoa i trun fim fuyen

* La mot dang vem tuy boa ti dc bie, bi hi lu tỉ tàn bộ be day ty phan

nn gta du vi duos tuy, gin nu luda Lén quan dén sự gin doan cua ong uy
+) Nhtmgo tu dich da ding do duos ty com chic ming va lp tue titra dich tuy

+ Dan hw kem higu qua