Be wary of acute pancreatitis

The pancreas is a 12-15cm long organ that leans against the posterior abdominal wall, corresponding to the number 2 back and is located in the duodenal frame, so when the pancreas becomes ill, it can be easily diagnosed with duodenum.

There are two types of pancreatitis:

Acute pancreatitis is not necrosis

Pancreas model (Photo: pancreas)

Lesions of acute pancreatitis are common in cases of patients with biliary stones such as gallbladder stones, stones of biliary tract in the liver and common bile duct stones (cholédoque tubes), biliary tract worms. Therefore, cases of severe colic due to biliary tract stones, biliary ductworms need to be very important for acute pancreatitis.

The main symptom of non-necrotizing pancreatitis is sudden pain, severe pain in the right flank spreading behind the back, on the shoulder. Sometimes pain 'cheek butt' like bile duct worms, fever, chills, pressure on the patient's ribs - back pain, especially left side ribs. The pain lasts for several hours and then gradually subsides. The patient is exhausted, sometimes another pain strikes.

Tests showed that white blood cells, amilase, bilirubin, blood urea increased. Ultrasound is valuable in diagnosis but sometimes has difficulty due to the vapor and stagnant fluid in the intestine covering the picture of the pancreas.

Acute pancreatitis bleeding

Unlike acute pancreatitis (pancreatic edema), the type of pancreatitis that causes bleeding is less common in patients with associated gallstones but is more common due to bile ductworms and biliary tract infections caused by microorganisms.

Patients are often stunned. The main symptom is abdominal pain on the navel from the left flank behind the back. Constant pain with moderate intensity but occasionally exacerbation, nausea and vomiting. Emit food, yellow fluid, diarrhea, bloody stools. The patient was in a state of panic, sweating. In the early hours of illness, sometimes there is an increase in blood pressure but then blood pressure drops. Examination of abdominal pain, especially in the area above the navel and position of the left side ribs. In these cases, it is easily misdiagnosed with gastric perforation.

Need X-rays not prepared to see if there is a slight sickle? In the film, intestinal loops can be seen in the pancreas near the pancreas, such as the duodenal frame and the first part of the jejunum. Look at the abdomen area around the navel area with bruises. Sometimes pleural effusion may occur. Ultrasound images show that the pancreas is edema, around the pancreas with secretions.

Amilase enzyme test increased highly in the first 12-18 hours. If blood sugar and amilase especially increase in 7 consecutive days, the prognosis is heavy and increased after two weeks is capable of forming pancreatic cysts or ascites due to spillage of the pancreas. Also found in urine are albumin, red blood cells, white blood cells.

Treatment

When acute pancreatitis occurs, patients need to be treated aggressively with infusion; anti-pain (absolutely do not use morphine because of muscle spasms 0dd); anti-stun (if any); anti-bacterial infection with specific antibiotics and surgical treatment when there is a definite diagnosis.

Prevention of acute pancreatitis

In order to prevent disease, patients should periodically test for fecal worms when indicated by a physician; Don't drink too much. Necrotizing pancreatitis is a very dangerous disease, must always be vigilant for early diagnosis of timely management, limiting death. When biliary stones and gallbladder stones are discovered, treatment should be completed.