Lancaster Audrey, Zwijacz Melissa
Audrey Lancaster, BSN, RN, CGRN, is Clinical Nurse, Endoscopy Center, Tampa General Hospital, Tampa, Florida. Melissa Zwijacz, BSN, RN, CGRN, is Clinical Nurse, Endoscopy Center, Tampa General Hospital, Tampa, Florida.
Gastroenterol Nurs. 2019 Sep/Oct;42(5):417-419. doi: 10.1097/SGA.0000000000000396.
Acute pancreatitis is an inflammatory process of the pancreas, which can range from a localized inflammatory process to a systemic response, resulting in sepsis and multisystem failure. Pancreatic fluid collections are a complication of pancreatitis. Treatment of these fluid collections is dependent on correct classification. The 2012 Atlanta Criteria divides fluid collections into four categories: acute peripancreatic fluid collections, pancreatic pseudocysts, acute necrotic collections, and walled-off necrosis. Endoscopic ultrasound-guided management of chronic fluid collections is currently the preferred treatment modality. Endoscopy nurses need to be aware of their role in this treatment approach. Continued research in this area will lead to both advancements in equipment and treatment options.
急性胰腺炎是胰腺的一种炎症过程，其范围可从局部炎症过程到全身反应，进而导致脓毒症和多系统功能衰竭。胰腺液体积聚是胰腺炎的一种并发症。这些液体积聚的治疗取决于正确的分类。2012年亚特兰大标准将液体积聚分为四类：急性胰周液体积聚、胰腺假性囊肿、急性坏死性积聚和包裹性坏死。内镜超声引导下处理慢性液体积聚目前是首选的治疗方式。内镜护士需要了解自己在这种治疗方法中的作用。该领域的持续研究将推动设备和治疗选择的进步。
