10 PM on Saturday night in a hospital emergency department in shanxi was rescued after a myocardial infarction patients, doctors could breath, will see 120 workers brought a big fellow zhang more than 40 years old, I saw zhang expression pain, full head big sweat.Emergency room doctor hurriedly monitoring vital signs, while asking how to return a responsibility?Original zhang took advantage of the weekend, and colleagues party, usually rarely eat meat he ate an elbow, then go to karaoke with colleagues, less than two hours in the abdominal pain, a cold sweat, and the pain gradually increase.Colleagues see emergency situation, he hurriedly call 120 and liu informed his lover.
the doctor urgently for tests to check.Results diagnosed as: acute pancreatitis (type) hemorrhage and necrosis.The doctor asked aunt liu and her husband have gallbladder disease?Aunt liu told the doctor that her husband has been found to gallstones for two years, symptoms usually not heavy, work is busy, has been dragged without surgery.Tube is strict at home at ordinary times, food is delicate, the nobody looked at this time go out to dinner, ate an elbow, who knows what had caused such a serious disease.
the doctor tell aunt liu, patients with this disease is the cause of gallstones in biliary impassability, combined with eating fat cause pancreatic juice (secreted by the pancreas, containing amylase, etc.), poor drainage of pancreatic digest themselves.Need to turn to surgery, to conservative treatment, but zhang condition has been developing at present, and the type of hemorrhage and necrosis pancreatitis case fatality rate is high, so should be treated conservatively, and ready to undergo surgery at any time, otherwise the life was in danger.
because the disease is severe, and the development of faster, conservative treatment cannot control the condition, zhang finally underwent surgery, resection of the partial necrosis of the pancreas.With the help of the medical staff, after more than five hours of surgery to save lives.
due to the expensive, with the help of colleagues, relatives and medical personnel, aunt liu fill 400000 surgery.Zhang stable vital signs are gradually recovering.
in patients with acute pancreatitis, many patients with biliary tract disease history, especially the patients with gallstones sediment samples (a), because of the bile duct, after eating greasy or drinking, bile secretion increased, can lead to poor bile duct, and the pancreas and bile duct openings in the duodenum, this can lead to the pancreatic enzyme secretion, accumulate in the pancreas openings, cause of pancreatic digestive, light person cause edema type pancreatitis, this type is good, after the person that weigh the bleeding necrosis pancreatitis, the poor, after the case fatality rate is high.So with biliary tract disease, should more delicate food at ordinary times, avoid overeating, timely treatment of biliary tract disease, prevention and control of such emergency and severe cases.
(the images are data figure, only for reference)
(the author Wei Junfang, master graduate student of shanxi university of TCM, TCM doctor practicing)