Treatment of acute pancreatitis? Pay attention to the severity and the cause?

summary

Acute pancreatitis refers to a variety of causes leading to pancreatic enzyme activation in the pancreas, resulting in pancreatic tissue self digestion, edema, bleeding and even necrosis of the inflammatory reaction. Often after a meal, induced after drinking. The main manifestations were acute persistent epigastric pain, nausea, vomiting, fever, increased blood and urine amylase, severe cases often secondary to infection, peritonitis and shock and other complications. Mild patients often have self limited disease and good prognosis. A few severe patients often have the above complications and high mortality. Therefore, it is suggested to be hospitalized, closely monitored, and the doctor should give suggestions according to the patient's condition, and continue to be hospitalized or discharged. Let's talk about the treatment of acute pancreatitis.

Treatment of acute pancreatitis? Pay attention to the severity and the cause?

First, the severity of clinical manifestations of acute pancreatitis is related to its etiology, pathological type and timely treatment. Mild cases are often self limited and have a good prognosis. Severe cases may have a variety of complications: secondary infection, peritonitis, shock, etc., with high mortality. Severe acute pancreatitis can also be complicated with acute renal failure, acute respiratory distress syndrome, heart failure, gastrointestinal bleeding, pancreatic encephalopathy, sepsis and fungal infection, hyperglycemia, etc., with high mortality.

Second, the main treatment principle is to reduce abdominal pain, reduce pancreatic secretion and prevent complications. The mild patients need fasting and gastrointestinal decompression, blood volume supplement, pain relief, anti infection and acid suppression treatment. After 3 to 5 days of active treatment, most of them can be cured. In addition to the above measures, the severe patients should also monitor the disease condition, maintain the balance of water and electrolyte, nutritional support treatment, reduce pancreatic secretion, inhibit pancreatic enzyme activity, and actively treat complications. It can also be treated by traditional Chinese medicine and surgery.

Third: severe cases of acute pancreatitis are more dangerous, with poor prognosis. The mortality rate is 20% to 40%, and there are many complications, such as secondary infection, peritonitis, shock, pancreatic abscess, acute renal failure, acute respiratory distress syndrome, heart failure, gastrointestinal bleeding, pancreatic encephalopathy, septicemia and fungal infection, hyperglycemia, etc. the mortality rate is very high. Therefore, the length of treatment should be adjusted It depends on the severity of the disease and whether the treatment is timely and effective. After 3 to 5 days of active treatment, mild cases can recover in a week without sequelae.

matters needing attention

Pethidine can be considered for patients with severe abdominal pain in acute pancreatitis, but morphine is forbidden in order to prevent sphincter of Oddi spasm and aggravate the disease. Pay attention to detect whether the pain is relieved and whether the nature and characteristics of pain are changed before and after treatment. If the patient is older, has hypotension, hypoalbuminemia, hypoxemia, hypocalcemia and various complications, the prognosis is poor.