Window of severe illnesses | overeating, bencendrnicitis

Author:Guangdong Provincial Hospital Time:2022.08.03

Open -column language

Guard the life oasis and care for health with your heart. The "Window of Severe" column is a science popularization column opened by the Department of Critical Medicine of Guangdong Provincial Hospital of Traditional Chinese Medicine. It regularly pushs you the knowledge of critical critical illness and unveiled the mysterious veil of intensive medicine.

Summer is here, and the heat is unbearable. Eating supper has become a living habit of many people, but do you know that the summer diet is also risky. Drinking ice beer frequently and overeating may make our pancreas.

Analysis

Ms. Luo, 52 years old, overeating, poor blood lipid control, worked overtime on the weekend to eat upper abdomen pain and discomfort, abdominal distension and abdominal pain, nausea and vomiting, emergency check ct prompt pancreatitis, and triglyceride reached 10.3 mmol/L, diagnosing acute pancreatitis. Patients have improved after the treatment of non -invasive ventilators, drugs lowering, plasma replacement, and CRTT support. After more than 1 week of ICU treatment, the patient transferred to the general ward and continued to be hospitalized.

What is acute pancreatitis?

Acute pancreatitis is an acute inflammation response caused by the indigestion, edema, bleeding, and even the acute inflammation reactions caused by the pancreatic tissue after the pancreatic is activated in the pancreas.

The position and function of the pancreas

The pancreas is a narrow gland that lives in the back of the stomach and the right of the spleen. It is gray-red, soft, 12-15 cm. The pancreas can secrete pancreatic fluid, and pancreatic fluid can digest protein and fat.

The mechanism of pancreatitis

The pancreatic tissue is also a mixture of protein, fat, etc., which can also digest the pancreas itself, but the human body has a self -protection mechanism. The protease of the pancreatic secretion only enters the intestine. Under the stimulation of the intestinal environment, the original protease is activated by activation Being a truly active protease can play a role in decomposing protein. The mechanism of pancreatitis is that ispanase is activated in advance.

Why is acute pancreatitis so serious?

Although most of the pancreatitis can be cured in about a week. but! In the case of severe cause of acute pancreatitis, the trouble is great, and even life -threatening! When acute pancreatitis, the pancreatic itself digested, the pancreatase leaked, and the rampant was rampant. The pain in the upper abdomen will feel the pain of "knife cut", and it is rarely relieved by itself.

The cause of acute pancreatitis?

There are many factors that cause pancreatitis. The most common factors include: overeating, large amounts of alcohol, hyperlipidemia, biliary diseases, etc. In summary, it is unhealthy eating habits. Overlashing causes a large amount of pancreatic fluid secretion. When the pancreatic fluid is secreted in large quantities and cannot be discharged in time, or those with gallstone will cause the pancreatic fluid to "out of the way", the retention pancreatic fluid will "self -digestion" the pancreas, and acute pancreatitis will occur. This female patient is because of her own abdominal obesity accompanied by hyperlipidemia and has an overeating experience. This is a factor that may induce acute pancreatitis.

What are the manifestations of acute pancreatitis?

Patients with pancreatitis will often have severe pain in the abdomen. They often radiate to the back. They may also be accompanied by a series of performances such as nausea, vomiting, abdominal distension, and fever. In the later stage, jaundice, hypotension, shock and other problems may occur. Patients with mild symptoms may have mild tenderness in the abdomen, and peritoneal stimulation and ascites may occur in severe illnesses, and occasionally there are waist ribs and subcutaneous ecchymosis.

What examinations do I need to do for confirmation diagnosis?

The diagnosis of acute pancreatitis includes imaging, laboratory and clinical symptoms. The upper abdomen magnetic resonance (MRI) and the upper abdomen CT enhancement can clarify the pancreas. Ultrasonic examinations can clarify the stones of the gallbladder or gallbladder. In addition, blood testing is also required. For example, to detect starch, lipase, and blood lipids to clear the diagnosis, it is also necessary to check blood routine, CRP, calcium calcium, blood sugar, liver and kidney function, etc. to judge the severity.

How to treat Western medicine?

The treatment of acute pancreatitis varies depending on the cause of the cause, different degrees of severity, and whether there is complications. In general, fasting, gastrointestinal decompression, liquid resuscitation and monitoring, giving drugs to inhibit pancreatase secretion and inhibit pancreatase activation, antibiotic therapy is given if necessary. If it is caused by the chromatographic stones of the bile duct, the cause of the endoscopic retrograde pancreatic bile ducting (ERCP) as soon as possible after the condition is controlled to relieve the cause. The clinical manifestations of acute pancreatitis acute pancreatitis in high glycerin semiration are more serious. In addition to the conventional treatment of acute pancreatitis, lipid -reducing drugs and other auxiliary methods are required in a short period of time. Or) Plasma replacement and other blood lipid replacement, lower the triglyceride to 5.65mmol/L as soon as possible.

What are the characteristics of Chinese medicine treatment?

The combination of traditional Chinese and western medicine in pancreatitis has obvious advantages than pure western medicine treatment. It can effectively alleviate the clinical symptoms of patients, reduce various complications, and promote the restoration of gastrointestinal function to prevent the further development of the disease, reduce mortality, save medical care resource. Through the fourth diagnosis and syndrome differentiation, in the early period, mid -term, and recovery period of pancreatitis, there are various complications of pancreatitis, and Chinese medicine participates as soon as possible. The soups such as Hu Tang, Qingchen Decoction have the effect of clearing heat and detoxifying, and attacking qi and pain relief, which can relieve the patient's symptoms. In recent years, many reports have shown that patients with severe pancreatitis are feeded at the end of their daily nasal nasal nasal nose, which can be drained and drinking water, helping to defecate, reducing intra -abdominal pressure, and providing new clues for the treatment of acute gastrointestinal dysfunction in ICU patients.

In the summer season, my heart is impetuous, and I should be calm and calm, feel the beauty of life, hope that the wind is late, and watch the star light, such as Su Shi "Huanxi Sand · Drizzle and the Wind": "Xuemo milk flower floating lunch, 蓼蓼, 蓼Trying the spring disk of wormwood bamboo shoots. The taste of the world is clear. "Pay attention to the regular work and diet, do not let" acute pancreatitis "disturb health.Yu Ling

Residents, doctorate in medicine, postdoctoral.

Good at: combination of traditional Chinese and western medicine such as coronary heart disease, hypertension, and critical care and treatment of critical condition such as heart failure and purulent disease.

He presided over three national, provincial and ministerial topics such as the National Natural Youth Fund and the post -doctoral fund, and published 8 SCI papers with the first author, the first author, and the communication author.

Supply: Discipline of Critical Medicine, Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine