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Emergency treatment of 2 critically ill patients due to acute pancreatitis

Emergency treatment of 2 critically ill patients due to acute pancreatitis - Photo 1.

Dialysis, emergency plasma exchange for patients. Photo: BVCC

The first case is a male NVK patient (37 years old, residing in Duong Minh Chau, Tay Ninh), admitted to the hospital in a state of severe abdominal pain, distension, vomiting many times, self-medication, not reducing, history pancreatic tumor and diabetes mellitus.

Immediately upon receipt, the doctors conducted a clinical examination and urgently indicated the subclinical. The results of the MSCT scan showed: The patient had vAcute pancreatitis with small necrotic foci in the head of the pancreas, increased Triglyceride.

The doctors on duty informed the specialist consultation and agreed that the treatment method for the patient was to transfer to the Intensive Care Unit for dialysis and plasma exchange.

After 4 days of intensive treatment on dialysis, the patient’s condition gradually stabilized, abdominal distension decreased, pulse turned clear, blood pressure returned to normal.

The second case is a female UTI (39 years old, residing in Go Dau, Tay Ninh), suffering from abdominal pain for 3 consecutive weeks, dull pain in the epigastrium, poor appetite.

The patient bought stomach medicine but it did not reduce, the pain was increasing, vomiting a lot, so his family quickly brought him to the emergency at Tay Ninh Xuyen A General Hospital. The patient was previously diagnosed with acute pancreatitis and was treated with plasma exchange.

Immediately after receiving the patient, after examining and based on the results of the MSCT scan, the doctors determined that this was a critical case because of acute pancreatitis, lipoprotein metabolism disorder with many complicated underlying diseases.

Doctors consulted and agreed on treatment with dialysis and plasma exchange. The patient’s condition improved gradually after that, reducing vomiting, reducing abdominal pain, reducing distention, and other disorders were gradually adjusted back to normal.

Currently, the patient is continuing to be monitored and treated at the Department of General Internal Medicine.

According to doctors, gallstones or heavy alcohol abuse are the leading causes of acute pancreatitis. Other causes include medications, autoimmune diseases, infections, trauma, metabolic disorders, and surgery. In addition, up to 10-15% of cases of acute pancreatitis have no identifiable cause.

The main symptoms of acute pancreatitis are abdominal pain, nausea, and vomiting, which often come on suddenly, easily confused with stomach pain. People with acute pancreatitis, if not detected and treated properly, will very quickly worsen, seriously affecting other parts of the body, even death.

To prevent disease as well as limit complications, it is necessary to limit alcohol, periodically deworming, prevent biliary tract disease caused by worms, treat diseases that are at risk of causing acute pancreatitis and should be hospitalized as soon as possible. suspected disease.

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