For the treatment of pancreatitis, patients must proceed scientifically. First of all, they must pay attention to preventing and treating shock and improving microcirculation. At the same time, they must also pay attention to the correct use of some drugs to inhibit pancreatic secretion and the correct use of antibiotics. 1. Prevent and treat shock and improve microcirculation By monitoring central venous pressure and urine volume, the infusion ratio can be determined by changes in central venous pressure and urine volume. Improve the input of glucan into microcirculation. In addition, according to the changes in electrolytes in blood biochemical tests, the acidity and alkalinity of blood gas, potassium, calcium, and acid-base balance and the acid-base balance results are added. 2. Inhibit pancreatic secretion H2 receptor blockers, the current dose is 20,000 units/kg body weight The current dose of H2 receptor blockers is 20,000 units/kg body weight, added to intravenous infusion, and one course of treatment is one week. 3. Antispasmodic and analgesic The traditional method is to intravenously drip 0.1% procaine for vein occlusion. Demerol and atropine can be used together regularly to relieve pain and relieve spasm of the Oddi sphincter. There are also amyl nitrite, nitroglycerin, etc. which are used when the pain is severe. 4. Application of antibiotics The use of antibiotics in acute hemorrhagic necrotizing pancreatitis is unquestionable. In acute edematous pancreatitis, a certain amount of antibiotics should be used reasonably to prevent secondary infection. 5. Peritoneal lavage Under local anesthesia, a small incision is made in the midline of the abdomen below the navel, and a soft, non-breakable silicone tube is inserted, and then the area around the silicone tube is sealed. The lavage fluid is isotonic and includes dextran and glucose 15 g/L, potassium 4 mmol/L, heparin 100 IU/L, and ampicillin 125-250 mg/L. |
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