Dialysis in acute pancreatitis is in place

Acute pancreatitis is the acute inflammatory process of the pancreas with quite diverse clinical diseases. In recent years, patients with acute pancreatitis are increasing, the disease is complicated, the mortality rate is high (from 20-50%) with multi-organ failure, infection. Patients with acute pancreatitis may be prescribed dialysis for treatment.

1. What is acute pancreatitis?

Acute pancreatitis is described as an acute inflammatory process in the pancreas, due to mild to severe lesions of pancreatic mesentenitis. mild acute pancreatitis requires only a short hospital stay with few complications. If the disease is severe, it will be complicated, with many complications and a high mortality rate.

2. Causes of acute pancreatitis

The pathogenesis of acute pancreatitis is caused by an increased concentration of Cytokines in the blood, increased response of white blood cells and blood vessel endotcosa. Specific causes of diversity:

  • Alcohol abuse.
  • Mechanical causes: Gallstones, pancreatic stones.
  • Due to hypothyroidism (in hethyroidism, thyroid tumors,…) or increased blood triglycerides.
  • Post-surgical complications, especially abdominal surgery near the pancreas.
  • Complications after upstream pancreatic endoscopy.
  • Complications after liver and kidney transplantation.
  • Due to injuries and bruises to the abdomen.
  • Due to infection: mesenteritis, ringworm, viral hepatitis.
  • Acute fatty liver in pregnant women.
  • Due to the side effects of the drug: 6MP, Sulfonamide, Ethanol, Furóemide, Oestrogen,…
  • Due to associated organizational pathology such as necrotizing capillary inflammation, systemic lupus erythematitis, Schonlein Henoch,…

In addition, up to 10 % of cases of acute pancreatitis are of unknown cause.

Particularly dangerous complications of acute pancreatitis

Acute pancreatitis caused by various causes

3. Clinical symptoms of acute pancreatitis

The clinical symptoms of acute pancreatitis occur very suddenly, complicated developments, there may be signs of intermingled surgery, especially in necrotizing acute pancreatitis.

3.1 Symptoms

include:

  • Abdominal pain: patients with acute pancreatitis who have sudden pain in the aortic region, which can spread to the chest, rib network or back. The pain is constant, intense for hours.
  • Vomiting: The majority of patients with acute pancreatitis have vomiting or nausea, initially vomiting food, and then vomiting fluids.
  • Squash: Due to muscle intestinal paralysis, the patient does not go outside, abdominal distension and fullness.
  • Shortness of breath: due to pain, pericarditis, pleural.

3.2 Symptoms of the whole body

  • Fever: Patients usually have a mild fever, but if due to biliary infection caused by worms, stones or wide pancreatic necrosis there will be a high fever.
  • Pulse and blood pressure.

In mild acute pancreatitis, the person usually has no severe body symptoms, the body is tired but static, pulse and blood pressure are stable.

Patients with severe acute pancreatitis may be shocked, sweaty, pale, cold limbs, rapid pulse, mental sluggishness, blood pressure drops. The person may panic agitating or lethargy fatigue. Appearance of bruises on the hands and feet.

Dizziness

Hypotension due to severe acute pancreatitis

3.3 Physical symptoms

Clearly notice symptoms of acute pancreatitis in the abdomen:

  • The abdomen is evenly obstructed, sometimes more obstructed in the area on the navel.
  • The hard patch on the navel is palpable in the permannia zone, not mobile, pressing pain, sometimes spreading to the two areas under the ribs.
  • 1 or 2 sides of the back hurts.
  • Jaundice symptoms, accompanied by enlarged liver if the cause of acute pancreatitis is associated with the gallbladder or liver.
  • In case of severe necrotizing acute pancreatitis, patches of bruises are seen under the skin around the navel or sides of the rib network.

4. Treatment of acute pancreatitis

The principle of treatment of acute pancreatitis is to need early, active and closely monitored treatment of: ulation, respiration, renal liver function and multi-organ failure. Patients with severe acute pancreatitis should receive active treatment in emergency resuscitation units.

4.1 Handling and emergency transportation

Patients with acute pancreatitis need urgent emergency, performing:

  • Put 1 – 2 peripheral transmission lines to compensate for 3 – 4l of isoat salt, put the gastric cathetro drainage if vomiting.
  • Infusion of 1g of intravenous paracetamol for 15 minutes to relieve pain.
  • Make sure to breathe.

Respiratory anesthesia

Ensure respiration when transferring patients with acute pancreatitis to emergency

4.2 Health Hub treatment

  • First, it is necessary to take general resuscitation measures such as: Respiration, respiratory resuscitation, renal resuscitation, pain resuscitation, antibiotic use, intravenous nourishment.
  • In particular, patients with acute pancreatitis should receive continuous dialysis throughout the course of treatment. Dialysis is in patients with severe acute pancreatitis who arrive early in the first 72 hours, or patients with multiple organ failure in late-to-late disease. Perform continuous intravenous dialysis – veins with an alternative volume greater than 45 ml/kg of body weight/hour.
  • In addition, treatment of peritoneal drainage through the skin when patients with acute pancreatitis have an outbreak located in the conjunctivitis, the antural cavity, which spreads along the colon groove down the pelvic cavity or behind the peritoneum.
  • Patients with non-stone acute pancreatitis are prescribed hypoaperpression abdominal fat surgery, which may combine acute bleeding surgery in the abdomen, pancreatic absculation, pancreatic pros cysts,…
  • Depending on the cause of acute pancreatitis, appropriate treatment of the cause is in place.

As such, dialysis indications in acute pancreatitis are important, in addition to combining symptomatic treatment and cause treatment to help achieve the best effect.

Any questions that need to be answered by a specialist as well as customers wishing to see and treat at Share99 International Health Hub, you can contact Share99 Health System nationwide or register online HERE.

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About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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