Non-surgical treatment of severe acute pancreatitis nursing progress.doc

 PAGE \* MERGEFORMAT 14 Non-surgical treatment of severe acute pancreatitis nursing progress [Keywords:] severe acute pancreatitis; non-surgical treatment; Care Severe acute pancreatitis (severe acute pancreatitis, SAP) refers to the acute pancreatitis with organ dysfunction, or hemorrhagic necrosis, abscess or pseudocyst and other local complications, or both [1]. The incidence of acute progress faster, more complications, longer course, can occur shock and multiple organ failure and even death [2], and the incidence increased year by year, is a critically difficult disease. In recent years, imaging diagnostic techniques, monitoring tools, , antibiotics, inhibit the secretion of pancreatic juice trypsin inhibitory activity of drugs and drug development, so that has been updated in the treatment of SAP, an integrated treatment early in the disease-based, so most of the patients after endoscopic intervention, Chinese medicine, peritoneal lavage Treatment of acute reactions such as through the period. the late surgical treatment of secondary infection in patients with significantly reduced. According to statistics, the use of non-surgical treatment, the success rate of more than 90% [3], while work on the proposed new nursing the request, the progress of the current SAP treatment and care are summarized below. A non-surgical methods of treatment 1.1 The conventional treatment for acute medical treatment has become the primary means of pancreatitis, fasting, gastrointestinal decompression and inhibit gastric acid secretion of pancreatic juice to add volume, correcting electrolyte and acid-base balance disorder of water are the main points of the treatment of acute pancreatitis [4 ], infusion of antibiotics to prevent infection, improve blood circulation and strengthen the pancreas and nutritional support, if necessary, short-term high-dose corticosteroids, can reduce the systemic inflammatory response, but because of the side effects of dexamethasone,