Conservative treatment of severe acute care.docVIP

 PAGE \* MERGEFORMAT 16 Conservative treatment of severe acute care [Keywords:] severe acute pancreatitis; conservative treatment; care Acute pancreatitis is a pancreatic enzyme secretion in the pancreas under the effect of various factors, in the pancreatic duct or gland to be activated in advance of pancreatic tissue caused by the chemical nature of their digestive inflammation, acute abdomen is a common one [1]. clinic with acute abdominal pain, nausea, vomiting, fever and blood increased as the characteristics of trypsin [2]. severe acute pancreatitis (SAP) rapid onset, rapid development, the disease risks of complications, short period of time lead to multi-system , multiple organ dysfunction, mortality as high as 20% to 30% [3]. in recent years with the development of medical science, drug treatment of acute pancreatitis has been greatly improved. particularly acute pancreatitis, the Early treatment by surgical drainage, open abdominal surgery evolved to the current non-surgical treatment and intensive care-based treatment [4]. give a care, dying, absolute bed rest, fasting, continuous gastrointestinal decompression , rehydration to maintain water and electrolyte and acid-base balance and to maintain effective blood volume, pain, inhibition of pancreatic secretion, the principle of prevention and treatment of complications, while the rational use of antibiotics after admission, 48 to 72 hours to give TPN nutritional support. by intensive care nurses , especially for abdominal signs and multiple organ failure in the early observations, fluid speed and timing of administration, blood glucose monitoring and psychological care, and achieved satisfactory results. 1 care 1.1 Ask the patient to rest and absolute bed rest position, to ensure sleep, to reduce the metabolic rate and the pancreas, gastrointestinal secretion, to increase blood flow to organs, and promote tissue repair and physical rehabilitation, to improve the condition. To assist patien