A dozen a week! Emergency doctors remind: "stomachache" in these areas should not be delayed.
There are not a small number of people who go to the hospital because of their love of good food, especially when this emergency breaks out. "the department receives more than 10 patients with acute pancreatitis almost every week. Even lead to systemic multiple organ dysfunction of the acute inflammatory response, most patients are mild pancreatitis, heart rate increase, shock, oliguria, renal insufficiency, dyspnea, organ failure and other serious problems. In the later stage, there may even be complications such as pancreatic necrosis with infection, massive hemorrhage, pancreatic fistula, pseudocyst, exocrine insufficiency, diabetes, etc., such as pregnancy, drug allergy, hemochromatosis, heredity and other factors: it is caused by the above two causes-biliary pancreatitis and fatty pancreatitis, which are described in detail in the next paragraph) nausea, vomiting and abdominal distension often occur after the onset of the disease. If combined with biliary tract disease or infection can have moderate fever, want to prevent the occurrence of acute pancreatitis? Control of blood lipids, timely detection and treatment of biliary diseases.
Eat and drink freely
So much for the beauty of the world.
But it is really not a well-off girl who deliberately "spoils the scene".
You know, people who love good food are in the hospital.
Not in the minority
Especially the emergency that we are going to talk about below.
As soon as it breaks out
Let's not say the pain of "heart-wrenching".
What's more, half a foot stepped directly into the "ghost gate".
You may even face
Cruel sequelae...
01
It is high at the moment! Sichuan people need to be more vigilant.
Sichuan Provincial people's HospitalEmergency department"Dr. Chen Feng"It is introduced that since the beginning of summer, the department has been receiving almost every week.More than 10 cases of acute pancreatitisThe patient.
Some of them have basic diseases such as fatty liver.Often drink, big fish and big meatFinally, he was admitted to hospital urgently because of severe abdominal pain and was diagnosed with acute pancreatitis.
Others are due to weekends, holidays and other factors.Suddenly "release yourself" and "overeat"…… Oh, much more.
Especially in us.Sichuan area, greasy and spicy dietAre the reasons for the increasing incidence of acute pancreatitis.
Dr Chen Feng reminded:We must not underestimate the disease of acute pancreatitis, "pain" is already "severe", the keyIt's also deadly!
02
Extremely dangerous, high case fatality rate!
The disease should not be ignored.
pancreasIt is one of the most important organs in our body, with both endocrine and exocrine functions.Digestion and metabolism of the human body and maintenance of lifeAnd so on are closely related to it.
Acute pancreatitisIt is due to abnormal activation of enzymes in the pancreas caused by a variety of reasons, which is caused by the digestion of the pancreas itself.Edema, necrosis, bleeding, and even systemic multiple organ dysfunctionThe acute inflammatory reaction.
It is understood thatThe fatality rate of acute pancreatitis is about 10%.Almost all deaths occurred for the first time.
In general, acute pancreatitis is generally divided intoThe following two categories of ↓
Mild pancreatitis
In general, most patients are mild pancreatitis.
The symptoms are as follows: abdominal pain, abdominal distension, nausea, vomiting.Short-term fasting, infusion and drug treatment can be controlled.
Severe acute pancreatitis
But there are also a small number of patients with severe acute pancreatitisThe symptoms will not be relieved, but will progress further.
Increased heart rate, shock, oliguria, renal insufficiency, dyspnea, organ failure, etc.Serious problemIt may even appear in the later stagePancreatic necrosis complicated with infection, massive hemorrhage and pancreatic fistulaAnd other complications.
● severe acute pancreatitisThe case fatality rate is 50% or higher.Through professional surgical treatment, it can be made.Reduced to 15% Rue 20%The mortality rate.
Even if ● is improved after treatment, it may leave pseudocyst, exocrine dysfunction, diabetes and so on.Affect the quality of life after that.
Therefore, we must pay attention to the prevention and attention of this disease.
03
Disease can occur at all ages!
After eating and drinking, you should be vigilant with the following symptoms
According to Dr. Chen Feng, acute pancreatitis can occur at all ages. At present,The known causes are as follows:
● obstruction of biliary system
● alcohol and high-fat diet
Obstruction of ● vessels and pancreatic duct
● trauma
● infection
● metabolic disease
Other causes of ●: such as pregnancy, drug allergy, hemochromatosis, heredity and other factors.
Dr. Chen Feng said that the most common cause in clinic is caused by the first two causes above.Biliary pancreatitis and lipogenic pancreatitis.
That is to say, there used to beCholecystitis, gallstones, hypertension, hyperlipidemia, diabetes, obesityPatients, andIrregular eating habitsThe crowd ofIt's more likely to get sick.
If after "eating and drinking",There are the following symptoms, be vigilant!
Abdominal pain
It is persistent, mostly in the middle and upper abdomen, and can radiate to the waist and back.(pain in different areas of the abdomen represents different diseases, which are described in more detail in the next paragraph.)
Nausea, vomiting, abdominal distension
More after the onset of the disease, can occur frequently, vomiting is often stomach contents, bile, abdominal pain can not be relieved after vomiting.
Fever
Most of them do not have fever, and they can have more than moderate fever if they are complicated with biliary disease or infection.
How to prevent acute pancreatitis?
In order to prevent the occurrence of acute pancreatitis, it is necessary to stop drinking and control alcohol intake, low-fat diet, control of blood lipids, timely detection and treatment of biliary diseases.
Generally speaking, abdominal pain is the most typical symptom of pancreatitis. But,Abdominal pain is not necessarily pancreatitis.It could also be other diseases.
Stomachache is all too common in daily life. But a lot of people don't know"stomachache" is exactly where the pain is.
04
What does "stomachache" in different positions mean?
Please put this picture away!
Although we are all ordinary people, it is difficult to find out the cause as accurately as professional doctors.
But we can also do it in some "less professional" waysRemind yourself to see a doctor in timeOr when communicating with a doctorDescribe your symptoms more accurately.
For example, through the picture that the well-off girl prepared for you next.
The abdomen is roughly divided into the following nine areas(non-professional version)The organs in different regions are different, so they also correspond to different situations:
First row: upper abdominal pain
Area 3: left upper abdomen
The pain in the left upper abdomen is mainlyPathological changes of the pancreas, such as pancreatitis.
OrProblems with the spleenSuch as a ruptured spleen.
Area 2: middle and upper abdomen
The main reason for the pain in the middle and upper abdomen isStomach partCauses, such as gastric ulcers, duodenal ulcers, or gastric perforation.
In addition,Cholecystitis, pancreatitisAnd other diseases, can also appear epigastric pain.
Area 1: right upper abdomen
The pain in the right upper abdomen is mainly caused byGallbladder, bile duct, liverProblems, such as bile duct stones, cholecystolithiasis, liver abscess and so on.
Second row: pain in the middle abdomen
Area 4 and 6: right middle abdomen, left middle abdomen
These two places are mainly due toColon and spleenPain caused by the problem.
Area 5: midabdomen
Around the belly button,The center of the abdomenThat piece, usually due toSmall intestineThe problem causes pain.
Third row: lower abdominal pain
The problems in the lower abdomen are more numerous and complicated--
Area 9: left lower abdomen
The left lower abdomen is mainlyUreterStone,fallopian tubesThe problem, orRupture of corpus luteumEtc.Uterine appendageThe pain inside.
Area 8: middle and lower abdomen
The pain in the middle and lower abdomen is mainly caused byPelvic and uterine lesionsAnd other problems, such as pelvic inflammation, uterine fibroids and so on.
Area 7: right lower abdomen
The pain in the right lower abdomen is mainly caused byAppendicitisCaused it. Besides,Ureteral calculi, fallopian tubes, ectopic pregnancyAnd so on, can also cause right lower abdominal pain.
Of course, the pain in the left and right lower abdomen may also be due toColonic tumorCaused it.
In addition,Pain in abdominal organsIt could also beBlood vesselThe reason. such asAortic dissectionCan causeBack painAndSevere pain anywhere in the abdomen.
AndIntestinal obstruction, mesenteric artery embolismAnd so on, can also cause abdominal pain.
In addition to the abdominal pain caused by the above-mentioned internal organsExtra-abdominal organs can also cause abdominal pain.
such asMyocardial infarctionCan cause upper and middle abdominal painPleural effusionCan cause pain in the left or right upper abdomen.
And there are some.Systemic disease, such asThrombocytopenic epilepsyIt can also cause abdominal pain and will be accompanied by purulent and bloody stool.
Isn't it complicated?
So, when something goes wrong,
Everyone must see a doctor in time.
Treatment according to etiology
Follow the doctor's advice!
Don't try to put up with it and pass by.
There are a lot of diseases are unbearable!
"the current issue of popular Science Doctor"
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