How to treat severe acute pancreatitis?

summary

Although there are many ways to treat pancreatitis now, the most effective one is surgery, which is a fundamental cure for pancreatitis. If you don't want to have pancreatitis often in the future, it is recommended that you consider surgical treatment, but you need to go to a regular hospital for treatment. Many people don't know much about surgical treatment of pancreatitis. How to treat severe acute pancreatitis? Now let's understand these knowledge together!

How to treat severe acute pancreatitis?

Surgical treatment; Pancreatic abscess, pancreatic pseudocyst and pancreatic necrosis with infection are serious life-threatening complications of acute pancreatitis. If the diagnosis is uncertain; Secondary pancreatic infection; Combined with biliary tract disease; Although reasonable support treatment, but the clinical symptoms continue to deteriorate, should be surgical treatment.

Non operative treatment; Some measures such as prevention and treatment of shock, improvement of microcirculation, spasmolysis, pain relief, inhibition of pancreatic enzyme secretion, anti infection, nutritional support, prevention of complications, strengthening intensive care, etc（ 1) In order to prevent shock and improve microcirculation, fluid, electrolyte and heat should be supplemented actively to maintain circulation stability and water electrolyte balance（ 2) Inhibition of pancreatic secretion: 1; ② Aprotinin; ③ 5-fluorouracil; ④ Fasting and gastrointestinal decompression.

The traditional method is intravenous drip of 0.1% procaine to block the vein. Dolantine can be combined with atropine regularly to relieve pain and sphincter of Oddi spasm. Morphine is forbidden to avoid sphincter of Oddi spasm. In addition, isoamyl nitrite and nitroglycerin can relieve the spasm of Oddi's sphincter to a certain extent when they are used in severe pain, especially in elderly patients, and it is also good for coronary artery blood supply.

matters needing attention

The mortality of severe acute pancreatitis is about 10%, and almost all the death cases are the first attack. Respiratory insufficiency or hypocalcemia indicate poor prognosis. The mortality of severe necrotizing pancreatitis is 50% or higher, which can be reduced to about 20% by surgical treatment.