Necrotizing pancreatitis nursing.doc

 PAGE \* MERGEFORMAT 13 Necrotizing pancreatitis nursing [Keywords:] Pancreatitis, nursing Acute pancreatitis is due to many causes pancreatic secretion of digestive enzymes are activated to digest the pancreas itself and place their Inflammation is a common surgical acute abdomen. Hemorrhagic necrotizing pancreatitis which accounted for 5% of acute pancreatitis 16%, a serious condition, complication rate, mortality rate from 20% to 30%, some up to several months duration [1]. hemorrhagic necrotizing pancreatitis to take a more individualized treatment programs, treatment process vital signs monitor, all kinds of pipe care, intake and output records, such as prevention of fungal infection and superinfection care of utmost importance. nursing interventions are in place in time, complications, early detection, early reporting can reduce mortality. our hospital in 2006 December to December 2007, were treated 176 cases of hemorrhagic necrotizing pancreatitis, after careful treatment, 174 patients treated and discharged more, accounting for 98.9%, now nursing are described below. A focus on nursing care of acute reaction The incidence of acute reaction to the initial stage, generally about 10 ~ 14d, at this stage of clinical manifestations in addition to local inflammation of pancreas, the most important is the emergence of systemic inflammatory response syndrome (SIRS, SIRS is a protective reaction of the body However, overreaction, and ultimately can lead to multiple organ dysfunction syndrome (MODS. this period of treatment is to maintain a stable internal environment, reduce inflammation and protect the important organs, care focuses mainly on monitoring of vital signs and fluid and electrolyte disorders . 1.1 monitoring and treatment of body temperature Acute response of body temperature more than 38 ℃ or lower than 36 ℃ .176 patients, 169 cases of patients with temperature higher than 38 ℃, 63 cases in which the body temperature of 39.5 ℃ or