急性胰腺炎并发胰性脑病的临床观察与护理

Clinical Observation and Nursing of Pancreatic Encephalopathy During Acute Pancreatitis

目的 总结急性胰腺炎并发胰性脑病 (PE)的临床特点并探讨相关护理问题。方法 回顾性分析了急性胰腺炎并发PE患者 19例。结果 全组中 18例系重症急性胰腺炎 ,总的病死率 5 2 6% ,稍低于文献报道的水平( 66 7%～ 10 0 % )。结论 PE可能是在胰酶对大脑损害作用的基础上多种因素综合致病的结果 ,中西医结合治疗有一定疗效。护理工作中多器官功能不全的观察与护理最为关键 。

Objective\ To sum the clinical feature of pancreatic encephalopathy (PE) and its nursing experience.Methods\ Nineteen with acute pancreatitis was studied retrospectively.Result\ Almost all of the cases of PE are suffering from severe acute pancreatitis.It was found that on the basis of brain damage caused by pancreatic enzyme,many factor may play their role in the development of PE.Mortality of this disease in our research is 52.6%,less than the level(66.7%～100%) reported by other authors slightly.Conclusion\ Traditional Chinese medicine can do some benefit in the treatment of PE.It is thought that monitoring and nursing of multiple organs dysfunction syndrome is the most critical,while lavage of lesser sac should be emphasized after surgical treatment.