Emergency Intensive Care Unit, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan, China.
Department 1 of Respiratory and Critical Diseases, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan, China.
J Healthc Eng. 2021 Apr 26;2021:5522492. doi: 10.1155/2021/5522492. eCollection 2021.
Severe acute pancreatitis (SAP) is traditionally treated with chemical analysis. Faced with the increasing maturity of CT imaging technology, it is necessary to use more advantageous CT imaging to treat SAP. In this article, 72 SAP patients admitted to the Affiliated Hospital of Southwest Medical University were selected for study, of which 62 were severely ill, 8 were exacerbated, and 2 changed from severe to mild. This article combines the patient's case records and related CT images during treatment from the perspective of nursing and conducts nursing research on the application of CT image changes in severe acute pancreatitis in nursing practice. CT image processing uses CT imaging system workstation (DICOM). The results of the study showed that, in the care of patients, 21 cases had recurrence after internal drainage, and the cure rate was 91.1%. Internal drainage is an effective way to treat SAP. The higher the incidence of pancreatitis, the more likely it is to relapse after SAP internal drainage, which may be related to repeated episodes of pancreatitis and repeated inflammation of the pancreas and pancreatic duct damage. 4 of the relapsed cases in this article are postchronic pancreatitis SAP, and the relapsed cases account for 50% of the chronic pancreatic cases. This may be due to chronic fibrosis of the branched and main pancreatic ducts, continuous abnormal pancreatic juice drainage. Therefore, it is necessary to further explore the prognosis of different causes of SAP. In terms of complication care, the overall complication rate was 16.6%. One patient died of postoperative hemorrhage. Analysis of the causes of cyst recurrence and complications may be closely related to the mechanism of the occurrence and development of SAP. The initiating factor of SAP is that the pancreatic tissue is damaged due to inflammation, trauma, or microcirculation disorder, and then the pancreatic juice leaks out of the pancreas, wrapping the pancreatic juice; it takes a certain time for the capsule of fibrous knot tissue to form and strengthen.
急性重症胰腺炎(SAP)传统上采用化学分析治疗。面对 CT 成像技术的日益成熟,有必要利用更有利的 CT 成像来治疗 SAP。本文选取西南医科大学附属医院收治的 72 例 SAP 患者进行研究,其中重症 62 例,加重 8 例,重症转为轻症 2 例。本文结合患者的病历和治疗过程中的相关 CT 图像,从护理的角度出发,对 CT 图像变化在重症胰腺炎护理实践中的应用进行护理研究。CT 图像处理采用 CT 成像系统工作站(DICOM)。研究结果显示,在患者护理中,21 例内引流后复发,治愈率为 91.1%。内引流是治疗 SAP 的有效方法。胰腺炎的发生率越高,SAP 内引流后复发的可能性越大,这可能与胰腺炎反复发作、胰腺和胰管反复炎症导致的胰腺组织损伤有关。本文中 4 例复发性病例为慢性胰腺炎 SAP,复发性病例占慢性胰腺病例的 50%。这可能是由于分支和主胰管的慢性纤维化,持续异常胰液引流所致。因此,有必要进一步探讨不同病因 SAP 的预后。在并发症护理方面,总并发症发生率为 16.6%。1 例患者术后出血死亡。分析囊肿复发和并发症的原因可能与 SAP 的发生和发展机制密切相关。SAP 的启动因素是由于炎症、创伤或微循环障碍导致胰腺组织受损,然后胰液外溢包裹胰液;纤维结组织包膜形成和强化需要一定的时间。