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急性胰腺炎的病理生理学、诊断与管理

Pathophysiology, diagnosis and management of acute pancreatitis.

作者信息

Sargent Suzanne

机构信息

Hepatology, Institute of Liver Studies, King's College Hospital, Denmark Hill, London.

出版信息

Br J Nurs. 2006;15(18):999-1005. doi: 10.12968/bjon.2006.15.18.22025.

Abstract

Pancreatitis is an inflammation of the pancreas that can be either acute or chronic in origin and is caused by a varied range of aetiologies. However, in both types of the disease alcohol use may be a major contributor. In acute pancreatitis the symptoms can range from mild, which resolve within a few days, to severe, which is associated with both multi-organ failure and a high mortality necessitating admission to a high dependency or intensive care unit. As the incidence of acute pancreatitis is increasing it is imperative that nurses are familiar with the causes, underlying pathophysiology, diagnostic tests and the potentially vast range of complications that can occur in acute pancreatitis. This article reviews the current medical and nursing management of this condition.

摘要

胰腺炎是胰腺的一种炎症,其起因可以是急性的或慢性的,由多种病因引起。然而,在这两种类型的疾病中,饮酒都可能是一个主要因素。在急性胰腺炎中,症状范围从几天内即可缓解的轻度症状到与多器官功能衰竭和高死亡率相关的严重症状,后者需要入住高依赖或重症监护病房。由于急性胰腺炎的发病率在上升,护士必须熟悉急性胰腺炎的病因、潜在病理生理学、诊断测试以及可能出现的大量并发症。本文综述了该病目前的医疗和护理管理。

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