Conservative treatment in severe acute pancreatitis Experience.docVIP

 PAGE \* MERGEFORMAT 8 Conservative treatment in severe acute pancreatitis Experience Of: Yu Yisheng, Lushun Ming, Xu Liyang [Keywords:] severe acute pancreatitis; treatment; efficacy Dangerous condition with severe acute pancreatitis. Complications and high mortality, but the incidence rate increased year by year trend. Evidence suggests that early surgical treatment of severe pancreatitis can not stop disease progression. And then the surgical trauma and stress response increased local and systemic inflammatory response induced by secondary infection, leading to organ failure and heart lung and kidney. September from the same district hospital surgery poverty from September 2007 to March 2009 were treated severe acute pancreatitis (severe acute pancreatitis, SAP ), 54 patients were treated conservatively and obtained satisfactory therapeutic results. now the conservative surgical treatment in our hospital Some understanding and experience in the following report. 1 Clinical data 1.1 General information on this group of 54 patients, 32 males and 22 females. Aged 36 to 67 years. Clinical manifestations: 15 patients had varying degrees of upper abdominal pain and fever. Urine amylase were increased to varying degrees. Ultrasonography diagnosed as SAP, 30 patients had peritoneal irritation. 1.2 The diagnosis is based on (1) continuous increase of the upper abdominal pain, abdominal spread to the whole; (2) above the main abdominal pain, rebound tenderness, and some accompanied by muscle tension; (3) urine amylase. 1.3 The results of conservative treatment cured 54 cases, no deaths. 2 Treatment Method and Analysis 2.1 General routine treatment of water fasting is generally 2 to 3 weeks. Decompression 7 to 10 days, enteral nutrition support. To maintain water and electrolyte balance, given analgesic, anti-inflammatory, H2 receptor antagonists. Needs to be emphasized is: Early fluid to maintain adequate blood volume. acute pancreatitis, ci