ms cui, 31, up in the morning suddenly abdominal pain, the pain is intense, also vomit vomit a lot of food in the stomach, the pain continued to see better, cui lady accompanied her husband to the hospital emergency department, the abdominal computed tomography (CT), pancreatic fluid around, swollen pancreas, blood amylase: 555 u/l when emergency physicians consider pancreatitis, and was in the hospital, patients in hospital after the stomach tube, the patient can not eat needs a lot of rehydration, because consuming food stimulates the pancreas aggravate pancreatitis.
the arrow, as shown in pancreatic edema
what makes me feel strange, causes of pancreatitis patients without gallstones, no bile duct stones, no eating, no drinking, seems to have only one reason, hyperlipidemia, because patients are very fat, biochemical examination results confirm my guess, triglycerides 8.04 more than four times the high normal range, and, of course, the result is a large number of dilute after rehydration, incidence of blood lipids should be higher. heard the doctor explained the cause, family feel very strange, tall blood fat can cause such a heavy disease, the patient that he didn't think of.
in general as hyperlipidemia caused by heavy pancreatitis than the cause of bile duct calculi, if develop into severe acute pancreatitis patients who are in danger of death, so a few days ago is important, but two days before the patient condition is smooth, without what big changes, is the heart rate is faster, the third day review enhanced CT, found no increased pancreatic fluid around, but it has changed in patients with lung, under the double lung consolidation, tip appeared in patients with systemic inflammatory response syndrome.
indicated by the arrows, not lungs.
a lot of people but is the pancreas itself seems pancreatitis lesions, actually otherwise, pancreatitis is a systemic disease, and it affects the whole body is pancreatitis cause inflammation media release, the difficult to control the excessive systemic inflammatory response, performance for lung, liver, bowel and organs within microvessels of polymorphonuclear leucocyte stick wall, adhesion, macrophage activation, hyperemia, seepage, etc., this is the cause of patients with atelectasis, serious can cause multiple organ failure.This situation is what we call the systemic inflammatory response syndrome, a little bit more simple understanding of systemic inflammatory response syndrome is in fact is a kind of continuous zoom chaos response, such as an army under attack, he will retaliate but he's not routines, activate all fire, killing the enemy already, also hurt yourself.
hyperlipidemia patients is important to note that a severe persistent abdominal pain be wary pancreatitis, if afraid of pancreatitis should exercise more so, reduce weight, fall hematic fat.