:

16445
, 2015
16447

: .. .



16%

, 2 5%

2-3%

75%

Staging
I

I A 2cm
I B
2 cm

II

.
II A -

II B -

 III

IV

,

, ,


41 , , 2 , ,

:
, ,
, .
: , ,
2 , .

.


,

.
, 10-15
.


1)

)
)

WBC

RBC

9.9x109/L 4.25x1013
/L
Glu
TP
Alb
Glob
BillT
BillD
BillIND
ALT
AST
AlkP
Amy
GGT
LDH
CRP

HBG

PLT

132g/L

349x10
9
/L

6.7
mmol/L
69 g/L
38 g/L
31 g/L
210
umol/L
142.8
umol/L
68.1
umol/L
69 U/L
71 U/L
477 U/L
342 U/L
133 U/L
403 U/L
11.6 mg/L

3.5-6.1
63-83
35-50
27-35
1.7-20.5
1.5-6.8
5.1-13.6
0-45
0-34
38-126
30-110
9-64
0-248
0-6

2) Imaging

.

,


:
capitis pancreatis

: Laparotomia explorativa. Op. sec.

Whipple (duodenopancreatectomia cephalica),
resectio ventriculi, cholecistectomia et pancreato-jejuno
anastomosis T-L, choledocho-jejuno anastomosis T-L,
gastrojejunoanastomosis T-L.

ex tempore- 5
,
,

,

Whipple procedure
(

-
--
--

WBC

RBC

HBG

PLT

16.5x109 3.25x101 102g/L 311x109/

3
/L
/L
L
Glu
5.7
3.5-6.1
mmol/L
TP
54 g/L
63-83
Alb
31 g/L
35-50
Glob
23 g/L
27-35
BillT
106
1.7-20.5
umol/L
BillD
75.9
1.5-6.8
umol/L
BillIND
/
5.1-13.6
ALT
82 U/L
0-45
AST
93 U/L
0-34
AlkP
217 U/L
38-126
Amy
34 U/L
30-110
GGT
80 U/L
9-64
LDH
/
0-248
CRP
117 mg/L
0-6