Observation of patients with severe pancreatitis and nursing.doc

 PAGE \* MERGEFORMAT 10 Observation of patients with severe pancreatitis and nursing [Abstract] According to the characteristics of severe acute pancreatitis and the possible complications of 20 patients in our hospital in patients with severe acute pancreatitis develop a rigorous and take an active care plan appropriate preventive measures. On postoperative complications do early prevention, early diagnosis and early treatment, greatly improving the cure rate of severe pancreatitis. [Keywords:] Pancreatitis, nursing Pancreatitis ferocious, rapid development, more complications and high mortality. Is a more difficult surgical acute abdomen in one of the diseases. Our department from January 2000 -2008 surgery in December of 20 patients with severe pancreatic inflammation in patients with the condition through careful observation and meticulous care, and achieved good results. now observe the care and reported as follows. 1 Clinical data The group of 20 patients, including 14 males and 6 females, aged 28 to 84 years, mean 56 years, length of stay of 27 to 92 days, average hospital stay was 64 days, of which 14 cases of gallstone pancreatitis, alcoholic 4 cases of pancreatitis, hyperlipidemia, pancreatitis in 2 patients. clinical manifestations were abdominal pain, nausea, vomiting, positive peritoneal irritation sign, laboratory tests of blood and urine amylasegt; 2 times normal. CT examination showed extensive swelling of the pancreas , of which some or extensive necrosis of the dark zone, a large number of peri-pancreatic effusion or ascites, pancreatitis within the same time see the gallbladder or bile ducts stones. 2 Results The group of 20 patients with acute respiratory distress syndrome in 2 cases, 2 cases of acute renal failure, gastrointestinal bleeding, 1 case of pancreatic fistula in 4 cases, 11 patients were discharged after treatment of the disease, 2 died. 3 Care 3.1 preoperative care of patients with severe acute pancrea