Nursing care of severe pancreatitis after pipeline.doc

 PAGE \* MERGEFORMAT 7 Nursing care of severe pancreatitis after pipeline [Keywords:] severe acute pancreatitis; surgery; pipeline Severe pancreatitis is a common abdominal surgery one of critical illness, the disease is rapid onset, rapid development, more complications and high mortality, with the technology to improve the treatment of severe pancreatitis, but also with the decline in mortality. In our hospital from August 1992 to July 2007 patients admitted with severe pancreatitis required surgery in 12 patients, anti-infection after operation, continuing intra-abdominal lavage and rational use of trypsin inhibitors, results were satisfactory. because after piping up to 9, various channels of care is very important, nurses should have the name of a variety of channels, placing the location and role in maintaining the various channels of effective drainage is one of the key treatment of severe pancreatitis, is reported as follows on nursing. Clinical data The patients in 12 cases, 5 males and 7 females, aged 33 to 85 years, and biliary pancreatitis in 4 cases, 4 cases of binge eating, induced hyperlipidemia in 1 case, 1 case of peritonitis caused, trauma 1 cases, incentives unknown in 1. preoperative CT examination were done or related confirm the diagnosis. indwelling catheter time of 38 days, the shortest, the longest retention time of 90 days, 9 .12 patients were cured and 1 case of intestinal fistula due to economic conditions do not permit post- discharged from hospital, 2 died. this group of patients without care complications. nursing 1. Double sleeve of care (1) Dual role of peritoneal lavage tube: the peritoneal contains a variety of enzymes and toxic substances with the activity of these substances through the lymphatic and peritoneal absorption into the circulatory system, may lead to shock and ARDS. Surgery is difficult to completely remove necrotic organization, there are still some postoperative pancreatic necrosis, peritoneal la