重症急性胰腺炎合并腹内高压患者的治疗及护理

Treatment and nursing of patients with severe acute pancreatitis complicated with intra-abdominal hypertension

目的研究分析重症急性胰腺炎(SPA)合并腹内高压(IAH)患者的治疗及临床护理方法。方法回顾性分析2011年4月至2013年3月来我院治疗的60例重症急性胰腺炎合并腹内高压患者的临床资料,其中Ⅰ级27例,Ⅱ级16例,Ⅲ级10例,Ⅳ级7例。通过对患者治疗及护理进行研究分析。结果本组患者通过有效的治疗和护理全部治愈,无死亡病例,腹内压Ⅰ级、Ⅱ级、Ⅲ级共53例患者没有形成胰周脓肿;Ⅳ级7例患者中有5例患者继发胰周感染,4例患者通过外科手术进行治愈,另外1例患者通过多次穿刺引流治愈。结论重症急性胰腺炎合并腹内高压患者通过抗休克治疗,严密的检测患者的生命体征及心、肝、肺、肾等重要器官的功能,并对患者的肠胃减压,疏通肠道,正确使用抑制胰液分泌的药物,合理使用敏感抗生素并有效的对患者做好围手术期护理,加强患者的治疗后康复情况。

Objective To study the analysis（SPA） in severe acute pancreatitis combined intra perssur（IAH） and clinical nursing method of patient care.Methods A retrospective analysis between April 2011 and March 2011 to our hospital treatment of 60 cases of intra-abdominal pressure in patients with severe acute pancreatitis clinical data,including 27 cases of 1evel I,16 cases of level II,10 cases of level Ⅲ,7 cases of level Ⅳ.Through the analysis on study the treatment and nursing on the patients.Results All the patients through effective treatment and nursing cure,no death intra-abdominal pressure level Ⅱ,Ⅲ,a total of 53 patients with no form of peripancreatic abscess;Ⅳ magnitude 7 patients had secondary 5 patients of peripancreatic infection,4 cases of patients cured by surgical,and 1 patient was cured by repeated puncture drainage.Conclusions Severe acute pancreatitis patients with intra-abdominal pressure through anti-shock treatment,rigorous testing of patients vital signs and critical organs such as heart,liver,lung,and function,and the patients with gastrointestinal decompression,dredge bowel,the correct use of drugs inhibit pancreatic secretion is sensitive to the rational use of antibiotics and effectively keep perioperative nursing care of patients,strengthen the patient ＇s recovery after treatment.