Severe acute pancreatitis complicated with abdominal compartment syndrome nursing observation.docVIP

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Severe acute pancreatitis complicated with abdominal compartment syndrome nursing observation.doc

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Severe acute pancreatitis complicated with abdominal compartment syndrome nursing observation

Severe acute pancreatitis complicated with abdominal compartment syndrome nursing observation [Abstract] summarized 19 cases of severe acute pancreatitis nursing abdominal compartment syndrome. That should be closely observed clinical symptoms, intra-abdominal pressure, changes in vital signs and urine output, good gastrointestinal care, treatment and care and surgical intervention .18 patients were discharged psychological care, and 1 died. [Keywords:] Pancreatitis; abdominal compartment syndrome; Care Abdominal compartment syndrome (abdominal compartment syn2drome, ACS) refers to the various causes intra-abdominal pressure (int ra ab2dominal presssure, IAP) increased lead to gastrointestinal, cardiovascular, lung, kidney and brain and other organ system dysfunction [ 1]. Severe acute pancreatitis is often accompanied by capillary leak reaction period, the level of leakage is closely related with disease severity, with increased capillary leakage, abdominal wall, intestinal wall, peritoneal edema and intestinal dilatation and a large number of fluid leakage, abdominal pressure increases may occur, with the development of the disease and for fluid resuscitation, abdominal cavity compliance began to decrease, which may eventually occur in February -2006 ACS.2004 In August, 19 patients admitted to our hospital surgery ACS patients with severe pancreatitis, now nursing reported as follows. 1 Clinical data 1.1 General Information of the 19 patients, 11 males and 8 females; aged 28 to 76 years, mean age 58 years; IAP 10 ~ 20mmHg 3 , 21 ~ 35mmHg 12 ,gt; 35mmHg 4 cases; hospital stay was 45 days ~ 6 months. 1.2 Treatment and outcome of 15 cases of percutaneous drainage of abdominal decompression, decompression, hemodialysis or peritoneal dialysis, medication and other comprehensive treatment, were discharged; 4 cases to the comprehensive treatment of abdominal decompression, of which 1 case cured 2 cases of stage were discharged after incisional hernia r