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You can understand your feelings, but severe acute pancreatitis is indeed a very critical disease. Now that the course of the disease has been more than 20 days, do you know how many days somatostatin has actually been used? At present, the timing of the use of somatostatin is still inconclusive internationally.
There is still controversy about the use of somatostatin in patients with severe acute pancreatitis abroad. However, China still advocates the use of somatostatin for severe acute pancreatitis, and its effect in relieving symptoms is still relatively obvious. After the symptoms are relieved, it can be considered to be discontinued, generally for about 7 days, or it can be appropriately extended depending on the severity of the condition.
If you use it for more than 20 days without stopping, it will take a little longer.
Severe acute pancreatitis is a high-cost disease, and after such a severe blow, coupled with many days of not eating, the body is prone to gastrointestinal failure (explaining vomiting, stomach upset, etc.), malnutrition (emaciation, dizziness, unsteadiness on standing), and secondary infections (which can be life-threatening, and the mortality rate is higher than in the early stage of the disease). If pancreatic pseudocysts and infections occur in the later stage, it may cost hundreds of thousands, so don't take it lightly. Or obediently listen to the doctor's words and accept **.
You can question the use of somatostatin.
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Acute hemorrhagic necrotic pancreatitis is a severe disease in pancreatitis, also known as severe pancreatitis, characterized by a critical condition, many and serious complications, the abdomen has become softer, it has indeed improved, peritonitis has been controlled, the most important medication for pancreatitis is somatostatin, inhibiting the secretion of enzymes, is the main ** program, of course, not completely good, somatostatin can not be stopped, vomiting and dizziness are the manifestations of the disease, so what you have to do is to listen to the doctor, this course of the disease will be longer, believe the doctor's **, At present, there is an effect, you can't be in a hurry, every step is more stable, otherwise the condition is not good if it repeats, this kind of pancreatitis does cost more than 100,000 or 200,000 yuan, it is normal, don't be in a hurry, the disease is like a thread.
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I have now been discharged from the hospital, and I spent more than 300,000 yuan in the hospital for half a year, which is a kind of acute disease and slow recuperation. It is not to be anxious to relax the mind and not to let the patient be too anxious.
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Is acute pancreatitis really serious? What do you know? There is a type of acute pancreatitis that causes some damage to his nervous system.
In severe acute pancreatic disease, the body produces large amounts of active hydrolase proteins every day that circulate in the brain, causing brain tissue damage. There is a type of acute pancreatitis that can cause some damage to one's own blood. Changes in the vascular system are mainly manifested as leukocytosis, abnormal coagulation and bruising.
For example, in two cases mentioned in an article published in 1965, there were no signs of abdominal pain, but they were both caused by shock and subsequent death within a short period of time. There are no symptoms of abdominal pain, but the disease continues until death, which is a terrible feature of the lack of acute pancreas. The above-mentioned pregnant woman not only did not have symptoms of abdominal pain, but also did not complain of any other inconveniences.
Her condition did not deteriorate because she was detected and intervened in time, which would otherwise have unforeseen consequences for pregnant women.
<> if the patient has hemorrhagic acute pancreatitis, it is more difficult because with the onset of bleeding, the patient will develop an intense, even unbearable feeling of pain, accompanied by symptoms of nausea, vomiting and frequent vomiting, after which the pain does not decrease. In severe cases, jaundice may even occur. Therefore, the clinical symptoms of acute pancreatitis are not only painful, painful, but also present considerable safety risks.
It can be said that the direct or indirect effect has an impact on the life safety of the patient. A week ago, after eating greasy food, Mr. Zhang's suffocation increased, the left pain in his back was radial, and he developed symptoms such as abdominal pain and fever.
In fact, Mr. Zhang was finally taken to the physician accompanied by his family. Ultrasonography found "bile ducts, gallstones" CT scan: the pancreas has a large low-density sac-like foci, and the pocket wall is regular and uniform internal density.
Serum amylase: 396 IU L (normal -800-1000 IU L) and 1714 IU L (normal -4-35 u dL).
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Abdominal signs include significant epigastric tenderness, rebound tenderness, muscle tension, abdominal distention, and decreased or absent bowel sounds. There may be an abdominal mass, and occasionally subcutaneous ecchymosis of the lumbar ribs (Grey Turner's sign) and periumbilical subcutaneous ecchymosis (Cullen's sign). One or more organ dysfunctions may be complicated.
It can also be accompanied by severe metabolic disorders, including hypocalcemia (calcemia < 1 87 retool l). Contrast-enhanced CT is used to diagnose pancreatic necrosis.
The most effective methods, ultrasonography and paracentesis, can be helpful in diagnosis. Apache Rating I>8. Bahhazarct grading system grades.
2. Fulminant acute pancreatitisIn patients with severe acute pancreatitis, fulminant acute pancreatitis can be diagnosed if there is organ dysfunction within 72 hours of regular non-surgical ** (including adequate fluid resuscitation). Fulminant acute pancreatitis is a dangerous condition, and non-surgical** often does not work, often secondary to abdominal compartment syndrome.
Severity rating.
Patients with severe acute pancreatitis without organ dysfunction are grade I, and patients with organ dysfunction are grade, among which patients with severe acute pancreatitis who still have visceral crying dysfunction after adequate fluid resuscitation within 72 hours belong to fulminant acute pancreatitis.
Staging of the course of the disease. The whole course of the disease can be roughly divided into three stages, but not all patients have a three-stage course of the disease, some only have the first stage, some have two stages, and some have.
Three installments. 1 Acute reaction stage: from the onset of the disease to 2 weeks, there may be complications such as shock, respiratory dysfunction, renal dysfunction and encephalopathy.
2 Systemic infection period: 2 weeks and 2 months after the onset of the disease, with systemic bacterial infection, deep fungal infection or dual infection as the main clinical manifestations.
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It's going to kill people, it's very harmful to your body.
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Analysis: Hello, this condition is acute pancreatitis. Guidance: It is recommended that hospitalization** be continued, somatostatin, amylase production transplanted, fasting, gastrointestinal decompression, and intravenous nutrition.
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It's life-threatening, and your boyfriend and his dad don't know what will happen.
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Acute pancreatitis is a very serious disease, first of all, it depends on what causes it, if it is biliary pancreatitis, it is due to gallbladder or biliary tract disease induced pancreatitis, this kind of pancreatitis is generally easier to control, and the prognosis is better, but this is based on the basis of timely **, if it is not obtained in time, such pancreatitis may still lead to serious consequences, if it is pancreatitis caused by biliary stones, on the basis of controlling pancreatitis, it is necessary to operate as soon as possible ** bile stones, Otherwise, it is easy to recur; The other type is primary pancreatitis, overeating is the main reason, or it can be no obvious cause, this kind of pancreatitis is generally more serious, and if it is not timely enough, it may lead to serious consequences and even death.
The best method of pancreatitis is now very mature, the most important is the use of drugs that inhibit pancreatic secretion, including: imported sitthanin, Shanning, and many domestic ones, including somatostatin, snow stop, octreotide, etc., if concurrent infection requires the use of antibiotics, if peritonitis occurs, it can be operated, however, at present, most experts believe that surgery is not the first place.
I believe that the local hospital will follow these methods**.
Good luck soon**!
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Hello patients:
Have looked at your situation in detail.
The course and prognosis of acute pancreatitis depend on the extent of the disease and the presence or absence of complications.
Mild symptoms, half recover within a week, leaving no sequelae.
Severe disease, dangerous condition, poor prognosis, case fatality rate between 20 and 40%.
Most of the patients who survived death after active rescue were left with varying degrees of pancreatic insufficiency, and very few developed chronic pancreatitis.
The main factors affecting the prognosis include: old age, low blood pressure, low albumin, hypoxemia, low blood calcium, and various complications.
If you or you do have a suspected patient, please go to a local hospital for rescue as soon as possible**.
If you need a specific examination or ** plan, please go directly to the local regular hospital for face-to-face examination.
Please trust your supervising doctor.
I wish you good health.
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Acute pancreatitis is a variety of ** causes pancreatic enzymes to be activated in the pancreas, causing pancreatic tissue to digest itself, edema, bleeding and even. It is often self-limited and has a good prognosis, and is also known as mild acute pancreatitis. A small number of severe cases of pancreatic hemorrhagic necrosis, often secondary infection, peritonitis and shock, etc., with a high mortality rate, is called severe acute pancreatitis.
It belongs to acute pancreatitis, should be temporarily and completely fasted (including water), all rely on the infusion of nutrient solution to maintain, after a week you can eat fat-free and low-protein liquid food, such as millet porridge, thin noodle soup, fruit juice, tomato soup, lotus root powder, etc., about two weeks later, the index will return to normal. At this time, it is still necessary to pay attention to diet, eat small and frequent meals, eat some light foods that are easy to digest, try to eat less greasy substances, and do not touch spicy foods, and wait for the body to recover slowly. In the future, it is necessary to prohibit alcohol and fried food, and do not overeat for the sake of health to avoid recurrence.
It is described as mild pancreatitis, continue infusion, spring banquet enzyme inhibition, stomach protection**, generally after 5-7 days abdominal symptoms and signs reduce or disappear, you can start a light liquid diet. >>>More
What foods are good to eat for pancreatitis?
1) It is advisable to eat light and nutritious foods, such as fish, lean meat, protein, tofu, etc., and carbohydrates such as rice and noodles. >>>More
Hello, consider pancreatitis, because your pain begins after a meal, in line with the first indication of angina, pancreatitis and gastric ulcer (pain after a meal and then gradually relieved), but given your age, eighteen years old, the chance of suffering from angina is not very high, and the nature of the pain (in a zigzag) is similar to the nature of pancreatitis pain (pancreatitis: the pain is wide and radiates to the lower back in a band), so the general situation does not meet the pain characteristics of gastric ulcers, and then analyze the effect of your behavior on the pain, When you laugh, your lungs swell, the diaphragm moves down, compressing the pancreas, and when you bend over, the abdominal space will also become smaller, and the pancreas will also be compressed, so the pancreas that is inflamed and edema will naturally produce painful sensations, in addition, pancreatitis will also have symptoms such as abdominal distention, nausea and vomiting, tenderness, fever, jaundice and other symptoms (not necessarily just statistical clinical data and then summarize), if it lasts for a long time and is found to be chronic pancreatitis, there will also be abdominal pain, weight loss, diabetes and steatorrhea quadrangle, so the above reasoning is synthesizedIt is recommended that you go to a regular hospital for a systematic examination, because if the disease turns into acute pancreatitis, it will become the most difficult surgical acute abdomen, and the consequences are very serious! Please cherish your health. >>>More
Question 1: Why does a woman get pancreatitis There is no obvious gender difference in pancreatitis, and there are two main reasons: >>>More