Johnstone Carolyn
School of Nursing and Midwifery, School of Nursing and Health Sciences, University of Dundee, Dundee, Scotland.
Nurs Stand. 2018 Jun 28. doi: 10.7748/ns.2018.e11179.
Acute pancreatitis is a potentially life-threatening condition primarily associated with gallstones or prolonged and excessive alcohol intake. Although the initial triggers of the condition can vary, the resulting pathophysiology is broadly similar irrespective of the cause. This article explores the pathophysiology of the main causes of acute pancreatitis, and discusses nursing management of the condition in the acute setting and the long-term issues to consider. It also outlines the conservative management of the condition, which includes pain management, provision of fluids and nutritional care. In the management of acute pancreatitis, nursing care can often overlap with medical management, especially as the condition deteriorates. Therefore, it is important that nurses develop comprehensive knowledge of the management of acute pancreatitis.
急性胰腺炎是一种潜在的危及生命的疾病，主要与胆结石或长期过量饮酒有关。虽然该疾病的初始触发因素可能各不相同，但无论病因如何，由此产生的病理生理学大致相似。本文探讨了急性胰腺炎主要病因的病理生理学，并讨论了急性情况下该疾病的护理管理以及需要考虑的长期问题。它还概述了该疾病的保守治疗，包括疼痛管理、补液和营养护理。在急性胰腺炎的管理中，护理往往与医疗管理重叠，尤其是在病情恶化时。因此，护士全面掌握急性胰腺炎的管理知识非常重要。
