Acute pancreatitis complicated by multiple organ damage in clinical analysis of 196 cases of.docVIP

 PAGE \* MERGEFORMAT 14 Acute pancreatitis complicated by multiple organ damage in clinical analysis of 196 cases of 【Key Words】 pancreatitis with multiple organ damage Acute pancreatitis (acute pancreatitis, AP) of the acute abdomen is a common clinical one. Authors from May 2001 to May 2007 study of 196 cases of AP observed in patients with clinical features of MODS, the report is as follows. A clinical data 1.1 General Information This group of 196 cases in 123 cases of male and female 73 cases; aged 25 to 79 years old, with an average (42.6 ± 8.9) years of age. 143 patients with mild AP, severe in 53 cases. Etiology: just 107 cases of gallstone pancreatitis, alcoholic in 18 cases, hyperlipidemia in 12 cases, bile source of sexual partners, alcohol in 13 cases, bile source of 10 cases of sexual partners, hyperlipidemia, alcohol, sexual partners, blood fat 8 cases of sexual disorders, eating and drinking, 14 cases of pancreatic cancer, 2 cases were 12 cases of unknown causes. The main clinical manifestations of acute upper abdominal pain, nausea, vomiting, fever, blood and urine amylase increased, B Chao, CT examination confirmed the pancreatic swelling, uneven texture, outside the inflammatory infiltration of the pancreas, suggesting that there are signs of pancreatitis, and to exclude other diseases. AP diagnostic criteria according to the Chinese Medical Association Society of Pancreatic Surgery Group in 1996 the 2nd program standards [1]. At the same time meet the criteria Panson if ≥ 3 and (or) APACHE-Ⅱ ≥ 8 items, and lt;48h disease were diagnosed as having severe acute pancreatitis [2]. 1.2 Treatment Patients are therefore correspondingly the following conventional treatments: (1) fasting, gastrointestinal decompression, oxygen nasal catheter or mask; (2) to maintain effective circulating blood volume, correcting water, electrolyte and acid-base imbalance, and provide nutritional support; (3 ) Application pr