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Acute pancreatitis is a variety of inflammatory reactions that cause pancreatic enzymes to be activated in the pancreas, causing pancreatic tissue to digest, edema, hemorrhage and even necrosis. Clinically, it is characterized by acute epigastric pain, nausea, vomiting, fever, and elevated blood pancreatic enzymes. The degree of lesions varies from mild to severe, and the mild ones are mainly pancreatic edema, which is more common in clinical practice, and the condition is often self-limited, and the recovery is good, also known as mild acute pancreatitis.
A small number of severe patients have pancreatic hemorrhage and necrosis, often secondary infection, peritonitis and shock and other complications, and the mortality rate is high, which is called severe acute pancreatitis.
Chronic pancreatitis refers to local, staged or diffuse chronic progressive inflammation of the pancreas due to a variety of different causes, resulting in irreversible damage to pancreatic tissue or pancreatic function. The clinical manifestations are reversible or persistent abdominal pain, diarrhea or lipotherapy, weight loss, jaundice, abdominal mass and diabetes.
**During the period, you need to eat lightly, avoid meat, eggs, milk, eat less and eat more meals, and wish you a healthy child, you can give him some Chinese medicine, and the harm to the body will be less.
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This actually says what are the best studies of pancreatitis? The most common in China is biliary pancreatitis. Biliary pancreatitis mainly includes gallbladder stones, as well as stones of the common bile duct, which fall from the gallbladder to the bile duct, and then cause the secretion disorder of the pancreatic duct, which will cause or induce acute pancreatitis, which is the most common in China.
In addition, with some changes in modern people's lifestyles, alcoholic and hyperlipidemic pancreatitis is gradually becoming more common.
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Hurry up and treat it, pancreatitis can easily cause great harm and have a great impact on life.
It can cause a variety of problems such as gastrointestinal bleeding, edema, and arrhythmia.
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1) Internal Medicine**.
Burying: Patients with cholecystitis and gallstone disease should be treated with biliary tract diseases; Patients with alcoholic pancreatitis should abstain from alcohol; Some people have applied octapeptide (octapeptide)** for chronic pancreatitis and found that pancreatic secretion function is significantly improved and symptoms are significantly reduced.
Symptom control: Mainly analgesic, the following measures can be used: aapplication of analgesics; b.application of pancreatic enzyme preparations; use of receptor slag blockers; d.celiac plexus block; e.Endoscopic pancreatic duct excludes protein emboli.
**Complications: Pancreatic calcification can be taken orally citrate**, and when pancreatic exocrine insufficiency, a high-protein, high-carbohydrate, low-fat diet should be adopted. Routine application of pancreatic enzyme preparations, such as multi-enzyme tablets, Viokase, or Catazym, 3 to 6 g d.
In addition, vitamins A, D, E, K, and B12 should be supplemented. People who develop diabetes often need to take insulin according to diabetes**.
2) Surgery**: Patients with chronic pancreatitis who have no significant effect after 3 to 6 months of internal medicine** should consider early surgery. Indications for surgery are:
Internal medicine ** does not have tung liquid can quietly relieve abdominal pain, and combined with malnutrition; Pancreatic pseudocyst formation or abscess; Patients with possible pancreatic cancer; fistula formers; Patients with obstructive jaundice caused by pancreatic enlargement compressing the common bile duct; Patients with splenic vein thrombosis and portal hypertension causing bleeding.
Surgical methods may include: pancreatectomy; pancreatic duct decompression and drainage; vagus nerve and celiac gangliectomy; Surgery for biliary tract disease and portal hypertension.
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Analysis: Pancreatitis is a disease of the pancreas caused by the self-digestion of trypsin. It can be divided into acute and chronic types.
**Method; According to the clinical manifestations and classification, the appropriate method is selected. 1 In the early stage of non-surgical** acute pancreatitis, patients with mild pancreatitis and those who have not yet been infected should use non-surgical**Suizao Town. (1) Fasting, nasogastric tube decompression
Continuous gastrointestinal decompression to prevent vomiting and aspiration. Giving total motility drugs can reduce bloating. (2) Replenish body fluids and prevent shock
All patients should receive fluids, electrolytes, and calories intravenously to maintain circulatory stability and water-electrolyte balance. Preventing hypotension, improving microcirculation, and ensuring pancreatic blood perfusion are beneficial to acute pancreatitis. (3) Antispasmodic and analgesic
In the early stages of the disease, analgesics (meperidine) may be given symptomatically. However, it is advisable to give antispasmodic drugs (hyoscyamine, atropine) at the same time. Morphine is contraindicated to avoid spasm of the sphincter of Oddi.
Pancreatitis (4) Inhibition of pancreatic exocrine and pancreatic enzyme inhibitors: gastric tube decompression, H2 receptor blockers {such as cimetidine), anticholinergics (such as hyoscyamine, atropine), somatostatin, etc., but the latter is expensive, opinions suggest:
It is generally used for patients with severe disease. Trypsin inhibitors such as aprotinin and gaberate have a definite effect on inhibiting trypsin.
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The symptoms of pancreatitis in children are: abdominal pain and bloating, generally sudden severe abdominal pain in the middle and upper abdomen and around the umbilicus, and then rapidly spread to the whole abdomen. Nausea and vomiting, with varying degrees of nausea and vomiting.
In the initial stage, it is more frequent, requiring bright nuclei and being sent to the hospital for infusion**, and then the crying gradually decreases. Jaundice is caused by edema of the pancreatic head pressing on the end of the common bile duct. If it is not due to obstruction, it may be due to toxic damage to the liver.
Xanthochromia may occur in both eye conjunctiva or throughout the body.
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