Do you know about necrotizing pancreatitis? Do you know the cause? What do I need to pay attention t

The acute attack of pancreatitis is very dangerous, it can quickly damage multiple organs in the human body in a short period of time, and if the rescue is not timely, the patient's life will be in danger. Severe acute pancreatitis was called an incurable disease in the past, but with the progress of modern medicine, pancreatitis has a better method.

The pancreas is an important organ in the upper abdomen of the human body, as shown in the figure, the anatomical position of the pancreas, the pancreas is behind the stomach, and the pancreas can be seen when the stomach is turned up, the pancreas is an important digestive organ, and it is also the largest digestive organ in the abdominal cavity that discharges digestive juices into the digestive tract. Because the pancreas is behind the stomach, after pancreatitis, people will mistake it for stomach pain, which is due to the anatomical relationship between the pancreas and the stomach. The pancreas has endocrine and exocrine functions, endocrine secretes insulin, exocrine secretes digestive juices, digestive enzymes such as amylase, lipase, these all help in digestion, and when problems occur with these enzymes, there are serious consequences.

The doctor first thinks of pancreatitis according to the clinical symptoms, and on this basis, the urine test can find that the amylase in the blood and urine is elevated, and the enhanced CT examination is also performed, which is to create a CT with contrast agent, which can clearly detect the lesion. As shown in the figure, the surface of the normal pancreas is uniform, and there is no exudation around it; Edematomous pancreatitis is clearly swollen with uneven surface and exudation, which can further develop necrotizing pancreatitis. It is not possible for every hospital to have advanced equipment, so patients should have the concept of pancreatitis and can have blood or urine tests to avoid delaying the disease.

Severe pancreatitis is divided into two types: surgical and non-surgical. Non-surgical includes resting the pancreas, i.e. fasting, gastrointestinal decompression, growth renaline to reduce secretions, painkillers, antispasmodics, nutritional drugs, antibiotics to prevent infection, and removing toxins from the blood, 80% of patients can be non-surgical**, of which 95% can**. If the disease control is unstable or there is an infection, surgery is necessary to drain the toxin to avoid shock and death, but the operation can not be solved by a single operation, and repeated surgery will bring great pain to the patient, and some doctors will take the way of installing a zipper to solve the patient's pain, but this method will affect the effect of drainage, so we recommend that the method of opening part of the abdominal wall can be used to solve the patient's pain without affecting the effect of drainage.

Patients with edematous pancreatitis have a higher rate of non-surgical treatment, while necrotizing pancreatitis requires a multidisciplinary approach to achieve the desired results. Optimistic, actively cooperate, I believe it will be. Good luck soon**

Answer]: A small number of patients with acute necrotizing pancreatitis cause the ** of the arms or rib abdomen to be blue and purple due to bloody ascites seeping into the skin, and the rest of the symptoms can appear in acute edematous glandular Li Cong and Naxun acute necrotizing pancreatitis.

Closed Lu with Answer]: b

In acute necrotizing pancreatitis, blood loss, urine amylase, and serum lipase are all elevated, most white blood cells are elevated, blood glucose is elevated, and serum calcium is reduced.

The complications of necrotizing acute pancreatitis are as follows:

1) Local complications are mainly pancreatic abscesses and pseudocysts. The former is formed by secondary bacterial infection of the pancreas and peripancreatic necrotic tissues. The latter is pancreatic necrotic tissue or abscess contents, formed by drainage of the pancreatic duct.

2) Systemic complications: Sepsis relieve. Acute basal pancreatitis can be based on sepsis secondary to bacterial infection of the abdominal cavity.

Diabetes. If there is excessive necrosis of pancreatic tissue, insufficient insulin secretion can lead to diabetes. Pancreatic encephalopathy.

Hyperpancreatic hyperpancreaemia can cause metabolic disorders of the central nervous system, such as impaired consciousness, delirium, coma, etc. Disseminated intravascular coagulation. Inflammatory necrotic tissue has tissue thromboplastin action, which promotes exogenous coagulation tendency.

Multi-organ failure. Such as acute renal failure, heart failure and acute respiratory distress syndrome.

There are two types of pancreatitis, acute pancreatitis and chronic pancreatitis.

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 abdominal pain, nausea, vomiting, fever, and increased 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.

There are many cases of acute pancreatitis, including gallstones, heavy drinking and overeating] chronic pancreatitis refers to local, staged or diffuse chronic progressive inflammation of the pancreas caused by various proto-early anomaly, 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 small and frequent meals, and wish you health

I just had acute biliary pancreatitis some time ago, and now I have been discharged from the hospital to recuperate, so I would like to answer your questions.

1. There are several fluids in the infusion that damage the blood vessels, even if there is an indwelling needle, it can not be used on the third day, and in the early stage of acute pancreatitis, the daily fluid is more than 3000 ml, which is very damaging to the blood vessels. Half a month after I was hospitalized, both hands and one forearm were so swollen that I couldn't get a needle. Later, PICC was done directly, and a catheter was introduced into the main vein, which relieved the pain of needle pricking.

It is recommended that your husband get a picc as soon as possible, ask the doctor for details, and do it in advance to relieve a lot of pain.

2. Not necessarily, because you have just been hospitalized. After the infusion of the nutrient solution, farting indicates that the stomach and intestines are smooth and not blocked, and stool indicates that the gastrointestinal peristalsis is good. These are not directly related to the improvement of pancreatitis, it can only be said that during the infusion, there are no intestinal problems.

Pancreatitis improves by looking at the values of blood amylase, urine amylase, and lipase.

3. The guide tube you mentioned is a gastrointestinal decompression pump, which is to empty gastric juice and reduce the burden on the pancreas. I had a variety of colors. Yellow, black, green have all been.

People are sick, very painful and anxious! You're still doing medicine tray ! Nephritis and pancreatitis cholecystitis have a p relationship! Do you have a conscience!

I was discharged from the hospital yesterday, and the effect in the first hospital of Harbin Medical University** is very good. Does farting and pooping mean that good things are going in a better direction? Yes, this means that you are ventilated and can relieve bloating.

The liquid flowing out of the guide tube is like saliva. But it is forbidden to eat, drink, drink. Otherwise, the pain will be even more uncomfortable.

However, this should be a surgical treatment.