A STUDY OF 14 PATIENTS WITH ACUTE PANCREATITIS
スポンサーリンク
概要
- 論文の詳細を見る
It is the purpose to define more accuratory the clinical course of an acute pancreatitis from the onset of an attack to the recovery.<BR>Fourteen patients complained sever pain in the upper abdomen, but two groups of patients were noticed for the duration of abdominal pain. In 8 patients it stopped within 5 days but in 6 it continued over three weeks. Abdominal masses due to swelling of the pancreas were palpated in 7 (50%) patients and its positive durations were correlated with that of abdominal pain.<BR>The average of laboratory data of 14 patients were examined from the onset to the recovery on successive days. Elevated serum amylase (1833±1034 S.U.) or urine amylase (12672±7554 S.U.) decreased rapidly to normal levels within 5-7 days, but fever, tachycardia and leucocytosis continued for about three weeks. For blood pressure, erythrocyte, hemoglobin, electrolyte and liver function no remarkable changes were recoginized.<BR>By the abdominal radiograph sentinel loop and dilated colon were noticed in 7 (88%) of 8 patients. By intravenous cholangiography the gallbladder was not demonstrated in 7 of 14 patients. In these patients the association of cholecysitis or cholelithiasis were suggested. Intraoperative cholangiography was perfomed in 3 patients and common channels were recoginized in all three patients. The radiographic evaluation of upper gastrointestinal tracts and computerlized tomography were also useful for the diagnosis of acute panctreatitis.<BR>Laparotomies were perfomed in 8 (57%) of 14 patients (cholecystectomy 3, cholecystostomy 1, drainage 4), and the severity of the abdominal inflammation for example the degree of abdminal exsudate was in inverse proportion to the duration from the onset of an attack to the operation.<BR>The fistula of transverse colon was the only complication and one patient was died.<BR>Results of our study suggest the importance to consider the duration from the onset of an attack when the patients of acute pancreatitis were examined or laboratory data were discussed.
- 北関東医学会の論文
北関東医学会 | 論文
- 12. PCTが行う緩和ケア外来―利根中央病院の経験―（第18回群馬緩和医療研究会）
- P-4.患者が「死にたい」とロにしたとき : 当院緩和ケアチームにおける精神科医の役割から見えたもの(パネルディスカッション,第15回群馬緩和医療研究会)
- 23.一般病棟でおこなう緩和ケア(心理的なケア)とは何か : いち臨床心理士から見えたもの(一般演題,第15回群馬緩和医療研究会)
- 19.医療者がケアの視点をもつことの意味(一般演題,第15回群馬緩和医療研究会)
- 11.終末期患者の食事摂取をめぐる倫理的葛藤(一般演題,第15回群馬緩和医療研究会)