Münch R
Medizinische Poliklinik, Departement für Innere Medizin, Universitätsspital, Zürich.
Schweiz Med Wochenschr. 1988 Apr 2;118(13):478-87.
Diagnosis and differential diagnosis of pancreatic disease are frequently difficult, and patience and diagnostic skill are required of the physician. Diagnosis is based on clinical findings, morphological imaging procedures (ultrasound, computer tomography, ERCP) and changes in biochemical parameters in serum, urine duodenal secretion and feces. History and clinical findings are starting-points for further chemical and technical investigations. The various diagnostic procedures and their importance in the diagnosis of acute and chronic pancreatitis and of pancreatic carcinoma are discussed and evaluated.
胰腺疾病的诊断和鉴别诊断常常具有挑战性，这就要求医生具备耐心和诊断技巧。诊断基于临床症状、形态学成像检查（超声、计算机断层扫描、内镜逆行胰胆管造影）以及血清、尿液、十二指肠分泌物和粪便中生化参数的变化。病史和临床症状是进一步进行化学和技术检查的起点。本文将对各种诊断方法及其在急性和慢性胰腺炎以及胰腺癌诊断中的重要性进行讨论和评估。
