Acute hemorrhagic necrotizing pancreatitis nursing_0.docVIP

 PAGE \* MERGEFORMAT 7 Acute hemorrhagic necrotizing pancreatitis nursing [Abstract] acute hemorrhagic pancreatitis necrotizing pancreatitis although only 10% to 20%, but severe clinical manifestations, complications, mortality can be as high as 50% to 90%, in order to improve the cure rate of pancreatitis, the paper summarizes 16 cases of acute hemorrhagic necrotizing pancreatitis in patients with postoperative care, that close monitoring of vital signs after surgery to maintain patency of peritoneal lavage and drainage, aggressive nutritional support is critical care. The group of 16 patients discharged from hospital, life good quality. [Keywords:] Pancreatitis; drainage; nutrition, care Acute hemorrhagic necrotizing pancreatitis is more rare, is a cause of complex, more complications, intractable, difficult nursing, acute abdomen with high mortality, the mortality rate up to 50% to 90%. In recent years, despite has improved diagnostic methods and clinical awareness of the disease has increased, but the mortality rate is still 25% to 40% [1]. our hospital in recent years, these 16 patients were treated, with no deaths, now nursing reported as follows. 1 Clinical data The group of 16 cases, 10 cases were male and 6 female, aged 41 to 59 years. Etiology: biliary disease in 12 cases, high-fat food fresh in 4 cases. All patients had typical clinical symptoms and signs; blood and urine amylase enzyme elevations; abdominal puncture out bloody turbid ascites; confirmed by CT in acute hemorrhagic necrotizing pancreatitis. Once diagnosed, that is, under general anesthesia cholecystectomy, common bile duct, pancreas capsule decompression, necrotic tissue elimination of pancreatic trypsin weeks of drainage and jejunal gastrostomy. postoperative patients all survived, the shortest hospital 51 d, the longest hospital stay 112 d, were discharged. after regular follow-up, quality of life is good. 2 post-operative care Patients with complex condition