The diagnosis of the pancreas with main cancer explains _'s general knowledge
Biochemistry, zymology and immunity are determined commonly used biochemistry is checked, for instance serum bilirubin and liver enzyme (A K P,etc.) ,See that rises while only obstructing in the biliary tract, lack the specificity too, is not suitable for the diagnosis in early days of pancreas cancer. What value the change of the amylase of serum does not have to chronic pancreatitis and diagnosis of pancreas cancer. No matter from duodenum drainage tube or E R C P (the driving in the wrong direction pancreatic duct radiography of gallbladder of the endoscope of the foot-path) Guide 12 made, mean the intestinal juice, check, pancreas is 14% alone of positive rate of tumour cell, this a pancreatic duct obstructs and prevents cells from falling into 12 causes of pointing in the intestinal juice.
1. The milk ferritin in the pure pancreatic juice that the ferritin of milk obtains with the endoscope radiates the immunity to determine, with 125I mark milk ferritin, antiserum has been made since people separate the immune sheep of pure milk ferritin that obtains in milk, the sensitivity is very high. Its average of the normal pancreas person is 83 gL, pancreas cancer and chronic pancreatitis person are 105 g/L and 2240 g/L respectively, method continuing being tried to find out that this is a worth.
2 . Embryo antigen of cancer (C E A) 8 0 - 9 0 % C E A value of pancreas cancer exceeds 2. 5 n g/m l, but it lack specificity, in primary or the intersection of colon and rectal cancer and other to digest department's tumour, meet even that increase of shifting etc., if C E A value exceeds 10 n g/ml, Ultrasonography B, C T or endoscope examine, find the pancreas unusual at the same time, then possibility increase of pancreas cancer.
3 . Relevant antigen (P C A A) of pancreas cancer Its value increases as the condition of pancreas cancer is developed, there are higher specificities, can be regarded as the cause of disease that further study pancreas cancer, organized pathology grading and sign of the metastasis of cancer in early days.
4 . Tumour fetus antigen of pancreas (P O A) Mainly exist in foetus' pancreas and adult's pancreas cancer are organized, there are traces in the adult's colon and small intestine extract. Determine patient serum hits P OA density by quantitative electric swimming method of rocket immunity, the normal value is 0-4 units of %, 4 0 - 6 0 % P O A value of pancreas cancer can exceed 14 units of %. Like C E A, its clinical using value lacks the specificity too.
5 . Galactose glucoside shifts isoenzyme 2 (G T - 2) It is an enzyme in the glycoprotein biosynthesis, can be seen on 7 0 - 8 5 % In gastrointestinal cancerous swelling, sensitiveness is too bad, can't be used for screening.
6 . Ribose nuclease gathers widowed nucleotide transferase of of nucleoside, is abbreviated as ribose nuclease (R N a se) ,Can be divided into pancreas type and liver spleen type according to its source of tissue, is abbreviated as R N a seC and R N a seU respectively, its substrate each has specificity. The experiment proves, R N a seC content in the pancreas and blood is higher than other histoorgans more than 100 times, and R N a seC in serum mainly comes from the pancreas and organizes. R e d di should be used to gather the nucleotide of cytosine (P oly C) at first in 1976 Determine, the critical value of normal people is 250 ml, the pancreas cancer patient of 90 is higher than 250 ml for enzyme law of the substrate, but the other cancerous swelling cases of 90 are lower than this value. In diagnosis, pancreas of cancer, ribose nuclease determine law evoke clinical attention of worker already with sensitiveness and specificity of 90 of 90 their, worth further studying.
7 . Other serology developed recently mark thing C A 199, D U P A N 2,etc.s, the patient can find C A 19-9 or D U - P A N 2 of the high density with monoclonal antibody in 90's pancreas, but if tumour is smaller than 3 c m, sensitiveness is 57; , his number value is normal at the time of the pancreas cancer that can excise at 2 stage; Diagnose value very high in its number value, it is mostly pathological changes not excised to cherish. Elastic hard protease of immune reactivity of serum can see rising when pancreas cancerous swelling blocks the proximal pancreatic duct, tumour is dropped to the normal range after excising, so recur to monitoring usefully.
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Thursday, January 31, 2013
The surgery of the pancreas with main cancer treats _'s treatment
The surgery of the pancreas with main cancer treats _'s treatment
Pancreas excise the intersection of skill and the intersection of radical cure and method, pancreas of cancer excise for operation, diagnose because of the intersection of pancreas and cancer difficult in early days, it is about 4-9 months to establish the time to diagnose that the patient firsts publish symptom, the excising rate of operation is under 24, so survival rate is under 10 in 5 of most reports. The pancreas excises the skill and is divided into:
1 . The pancreas duodenum excises the skill and suitable for pancreas head cancers and pot belly cancers. W hipple adopted the skill of this proficiency in 1935, had had a lot of improvements already, included the way to excise the range and rebuild (see Fig. 3 3-5) . The excision range that the pancreas duodenum excises the skill should generally include section under some stomaches, duodenum, pancreas head and person in over-all charge of gallbladder, the treatment method of the end yes that the pancreas is cut Cut the end of the pancreas to sew up and lock after the ligature of pancreatic duct; The pancreas is cut end and jejunum do the end identically; Pancreas cut end and jejunum act as end to be identical. Some still put the silent stock tube to make the support in the pancreatic duct. Rebuilding the operation includes the gallbladder ' Or person in over-all charge of gallbladder) Jejunum identical and pancreas cut end jejunum identical to coincide with jejunum of stomach. The proportion in view of the lymphocytic transformation is very high, what the pancreas duodenum is excised should add the regional lymph node to remove conventionally while, namely increase the alternative appropriately and remove the third stop lymph node on the basis of excising the first, 2 stations of operations.
2 . Keep stomach and the intersection of pancreas and duodenum of pylorus, excise T rav e r so create, use the intersection of P P P D and surgery this at first 1978 such as skill, its advantage is as follows, the stomach capacity is big, the stomach is returned to and flowed and is prevented partly, the nutritional status can see and improve; The time of operation is shortened, needn't walk the stomach to excise, duodenum jejunum is identical and relatively simple and convenient too. The medical university subsidiary Huashan hospital of Shanghai once implemented this operation to the case that pancreas head cancer was relatively limited, effectual in the near future, the time of retention of postoperative stomach is slightly long, the intestines and stomach reduce pressure the tube will be stood for 5-7 days.
3 . The whole pancreas excises the skill in recent years, many centres of pancreas cancer have illness coming on the theory causes people's attention more and more, pancreas head cancer besides lying in the main cancer cooking stove of the pancreas head, find the occuring frequently little cancer cooking stove in whole other positions that pancreas organize, this discovery has offered the important theoretical foundation for the fact that the whole pancreas excised the skill. Reported recently the morbidity of many centres of pancreas cancer was 1 9 - 2 4 % , And think the pancreas duodenum excises the postoperative incomplete pancreas and recurs cancer mostly relate to occuring frequently in the cooking stove of cancer in the incomplete pancreas. The whole pancreas excise skill, dispel the intersection of pancreas and duodenum excise postoperative pancreas, leak possibility of complication fundamentally, but diabetes and pancreas exocrinosity function do not cause and digest and assimilate sequela such as the obstacle completely, study the whole near long-term curative effect that pancreas excise, have advantage recently, should know card of meeting it strictly, still can't substitute the pancreas duodenum excision at present.
4 . The pancreas of limitation excises the skill and is used in early body of pancreas, tail cancer more.
In the pancreas excises the adaptation card of the skill and working techniques selected for use, the following problems are noteworthy:
( 1 ) The operation wound that the pancreas duodenum excises is very great, should consider carefully it and meet card and possibility. Can't observe but check and can make diagnosis by pathology only according to the naked eye. If the infiltration and shifting the focus of cancerous swelling has already gone beyond the range of radical operation, even excise by force, can't improve long-term survival rate either.
The pancreas incomplete end treatment method differs. The ligature of simple pancreatic duct is not done identically and putting and guiding, 5 0 - 1 0 0 % the patient leaks, the jejunum mucous membrane of pancreas leaks the incidence to the identical one pancreas of mucous membrane as 14, it is 13 to telescope the incomplete end of pancreas in jejunum. Each can select habitual skill type for use, but for fine in order to adopt simple the intersection of pancreatic duct and the intersection of ligature and skill.
Because the pancreas duodenum excises the postoperative identical incidence of mouthfuls of ulcer 6 - 5 0 % , Whether add and make nervus vagus and cut off the skill and still exist and dispute. C hrist wait for report add, make nervus vagus, cut off gastrointestinal the intersection of bleeding and incidence of skill for 12 recently, and the persons who do not make, as 9. G rac e wait for report, add, make or make nervus vagus, it cuts off gastrointestinal bleeding of skill to be 9 and 12 respectively in incidence, identical mouthfuls of ulcer incidence are 4 and 6 respectively.
( 2 ) There is one and finish two kinds by stages pancreas duodenum excises skill. Perform the operation and lengthen the course of treatment by stages, increase cancerous swelling and sow the scattered chance shifting again, perform the operation adhesion more again, operation relatively difficult, should strive the first stage of operation excise. But it is proper to belong to the following situations by performing the operation: Persons who fail to diagnose clearly of icy cut sections for microscopic examination in the skill; The patient's too serious persons who but can't tolerate the first stage of operation of condition; Jaundice combines the companion serious person who damages liver function more deeply before patient's skill.
( 3 ) Perform the operation by stages, mainly relieve obstructive jaundice first, in order to improve the patient's whole body situation, operate and try hard to be simple in first operation, for instance, the gallbladder makes Lou's skill. If the bile duct is expanded obviously, make P T C D first and after jaundice is lightened, and then do the excision in the liver.
( 4 ) Adopt which kind of the intersection of pancreas and duodenum of pattern excise skill, rebuild identical mouth in the skill arrange order should jejunum formerly identical with pancreas, coincide with jejunum of stomach for the intersection of bile duct and jejunum secondly, pancreas, the intersection of bile duct and the intersection of jejunum and identical mouth fit with jejunum of stomach the distance between the mouth should exceed 30 c m, can avoid the upgoing infection of the pancreas, bile duct.
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Pancreas excise the intersection of skill and the intersection of radical cure and method, pancreas of cancer excise for operation, diagnose because of the intersection of pancreas and cancer difficult in early days, it is about 4-9 months to establish the time to diagnose that the patient firsts publish symptom, the excising rate of operation is under 24, so survival rate is under 10 in 5 of most reports. The pancreas excises the skill and is divided into:
1 . The pancreas duodenum excises the skill and suitable for pancreas head cancers and pot belly cancers. W hipple adopted the skill of this proficiency in 1935, had had a lot of improvements already, included the way to excise the range and rebuild (see Fig. 3 3-5) . The excision range that the pancreas duodenum excises the skill should generally include section under some stomaches, duodenum, pancreas head and person in over-all charge of gallbladder, the treatment method of the end yes that the pancreas is cut Cut the end of the pancreas to sew up and lock after the ligature of pancreatic duct; The pancreas is cut end and jejunum do the end identically; Pancreas cut end and jejunum act as end to be identical. Some still put the silent stock tube to make the support in the pancreatic duct. Rebuilding the operation includes the gallbladder ' Or person in over-all charge of gallbladder) Jejunum identical and pancreas cut end jejunum identical to coincide with jejunum of stomach. The proportion in view of the lymphocytic transformation is very high, what the pancreas duodenum is excised should add the regional lymph node to remove conventionally while, namely increase the alternative appropriately and remove the third stop lymph node on the basis of excising the first, 2 stations of operations.
2 . Keep stomach and the intersection of pancreas and duodenum of pylorus, excise T rav e r so create, use the intersection of P P P D and surgery this at first 1978 such as skill, its advantage is as follows, the stomach capacity is big, the stomach is returned to and flowed and is prevented partly, the nutritional status can see and improve; The time of operation is shortened, needn't walk the stomach to excise, duodenum jejunum is identical and relatively simple and convenient too. The medical university subsidiary Huashan hospital of Shanghai once implemented this operation to the case that pancreas head cancer was relatively limited, effectual in the near future, the time of retention of postoperative stomach is slightly long, the intestines and stomach reduce pressure the tube will be stood for 5-7 days.
3 . The whole pancreas excises the skill in recent years, many centres of pancreas cancer have illness coming on the theory causes people's attention more and more, pancreas head cancer besides lying in the main cancer cooking stove of the pancreas head, find the occuring frequently little cancer cooking stove in whole other positions that pancreas organize, this discovery has offered the important theoretical foundation for the fact that the whole pancreas excised the skill. Reported recently the morbidity of many centres of pancreas cancer was 1 9 - 2 4 % , And think the pancreas duodenum excises the postoperative incomplete pancreas and recurs cancer mostly relate to occuring frequently in the cooking stove of cancer in the incomplete pancreas. The whole pancreas excise skill, dispel the intersection of pancreas and duodenum excise postoperative pancreas, leak possibility of complication fundamentally, but diabetes and pancreas exocrinosity function do not cause and digest and assimilate sequela such as the obstacle completely, study the whole near long-term curative effect that pancreas excise, have advantage recently, should know card of meeting it strictly, still can't substitute the pancreas duodenum excision at present.
4 . The pancreas of limitation excises the skill and is used in early body of pancreas, tail cancer more.
In the pancreas excises the adaptation card of the skill and working techniques selected for use, the following problems are noteworthy:
( 1 ) The operation wound that the pancreas duodenum excises is very great, should consider carefully it and meet card and possibility. Can't observe but check and can make diagnosis by pathology only according to the naked eye. If the infiltration and shifting the focus of cancerous swelling has already gone beyond the range of radical operation, even excise by force, can't improve long-term survival rate either.
The pancreas incomplete end treatment method differs. The ligature of simple pancreatic duct is not done identically and putting and guiding, 5 0 - 1 0 0 % the patient leaks, the jejunum mucous membrane of pancreas leaks the incidence to the identical one pancreas of mucous membrane as 14, it is 13 to telescope the incomplete end of pancreas in jejunum. Each can select habitual skill type for use, but for fine in order to adopt simple the intersection of pancreatic duct and the intersection of ligature and skill.
Because the pancreas duodenum excises the postoperative identical incidence of mouthfuls of ulcer 6 - 5 0 % , Whether add and make nervus vagus and cut off the skill and still exist and dispute. C hrist wait for report add, make nervus vagus, cut off gastrointestinal the intersection of bleeding and incidence of skill for 12 recently, and the persons who do not make, as 9. G rac e wait for report, add, make or make nervus vagus, it cuts off gastrointestinal bleeding of skill to be 9 and 12 respectively in incidence, identical mouthfuls of ulcer incidence are 4 and 6 respectively.
( 2 ) There is one and finish two kinds by stages pancreas duodenum excises skill. Perform the operation and lengthen the course of treatment by stages, increase cancerous swelling and sow the scattered chance shifting again, perform the operation adhesion more again, operation relatively difficult, should strive the first stage of operation excise. But it is proper to belong to the following situations by performing the operation: Persons who fail to diagnose clearly of icy cut sections for microscopic examination in the skill; The patient's too serious persons who but can't tolerate the first stage of operation of condition; Jaundice combines the companion serious person who damages liver function more deeply before patient's skill.
( 3 ) Perform the operation by stages, mainly relieve obstructive jaundice first, in order to improve the patient's whole body situation, operate and try hard to be simple in first operation, for instance, the gallbladder makes Lou's skill. If the bile duct is expanded obviously, make P T C D first and after jaundice is lightened, and then do the excision in the liver.
( 4 ) Adopt which kind of the intersection of pancreas and duodenum of pattern excise skill, rebuild identical mouth in the skill arrange order should jejunum formerly identical with pancreas, coincide with jejunum of stomach for the intersection of bile duct and jejunum secondly, pancreas, the intersection of bile duct and the intersection of jejunum and identical mouth fit with jejunum of stomach the distance between the mouth should exceed 30 c m, can avoid the upgoing infection of the pancreas, bile duct.
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Pancreas cancer and and pot belly cancer _ general knowledge
Pancreas cancer and and pot belly cancer _ general knowledge
Pancreas cancer took the total number of cancerous swelling of whole body 1 - 2 % , The domestic and foreign morbidity has a growth trend in recent years. Belly cancer of the pot means section and the 12th malignant tumour which point the papilla under the person in over-all charge of gallbladder, relatively rare, but it makes a diagnosis and gives treatment measure and pancreas head cancer have many common points, called their one as cancer around the belly of pot traditionally in the past, so combine and introduce in this one.
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Pancreas cancer took the total number of cancerous swelling of whole body 1 - 2 % , The domestic and foreign morbidity has a growth trend in recent years. Belly cancer of the pot means section and the 12th malignant tumour which point the papilla under the person in over-all charge of gallbladder, relatively rare, but it makes a diagnosis and gives treatment measure and pancreas head cancer have many common points, called their one as cancer around the belly of pot traditionally in the past, so combine and introduce in this one.
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's general knowledge of dangerous factor of the pancreas with main cancer
's general knowledge of dangerous factor of the pancreas with main cancer
Research verifies the smoker's danger is directly proportional to the intensity of smoking. To the person who gave up smoking from 10 to 15, it is dangerous and similar to non-smoker all one's life. Sucking the cigar, cigarette, tobacco pipe and person who chews tobacco has no difference in the dangerous respect.
Research that is distributed to the geographical area of pancreas cancer, such as the study on settler, fully explain the environmental factor, the carcinogenic function such as the diet. Animal's experiment proves the fatty diet relates to development of pancreas cancer. Other card diet such as meat and hyperpyrexia, especially high carbohydrate, milk product and marine food are relevant factors. And high fiber, crowd of the fruit and fresh vegetables suffer from less pancreas cancers in the diet structure. Though drink the dangerous factor that the caffeine alcohol beverage is considered to be increasing, but many study and does not support this kind of view.
Likewise, a lot of are studied not to support the relevance between diabetes and pancreas cancer either, have some prospective to study, reveal diabetes patient it suffers from danger, pancreas of cancers to be 4 times higher than other people. People find in recent years that often there is diabetes that break out in several months before pancreas cancer is confirmed, this discovery may remind doctors to the possibility which the middle aged patient without diabetic family's history considers the early pancreas cancer.
The job related to pancreas cancer is with chemical material and work that the metal contacts, the researcher thinks it is high and dangerous that men who works in the factory related to - naphthalene amine and benzene have the one that suffered from pancreas cancer.
The inherent cause of pancreas cancer has not been verified clearly yet, but there are reports that a family has illness coming on too. Recent research shows person who has malignant pancreas tumour is ill and dangerous and relatively high in the close relative.
The person under the age of 40 suffers from pancreas cancer fewly, average ill age is 63 years old, men are slightly higher than women. The mortality of pancreas cancer nearly keeps the same with morbidity, survival rate is very low in 5, and it is therapeutic to nearly all undergo an operation. About 4 months in life cycle of pancreas cancer patient not receiving treatment, the patient who accepts surgery treatment of the bypass is about 7 months in life cycle, the patient can generally survive for 16 months after the excision. According to the newest statistics, 20% of the patients are one year in life cycle, 3% of the patients were 5 life cycle.
Spend the loud mouse ' Heavy nitrogen acetyl serine) , Syrian hamster (amine or amine BOP of N - inferior nitre base pair [2 - third alkyl of oxygen ]) And guinea pig( Methyl inferior nitre base urea) The cancer model of pancreas of rodent duplicated has been already successful. The base complex of inferior nitre is most effective carcinogen to rodent. Include a large amount of saturated fat and promote the experimental big mouse to form cancer in the food. It is plain (CCK) to draw back the gallbladder Or its frog's skin of analog draws back gallbladder peptide (cerulein) Can stimulate the experimental animal to secrete the growth of pancreas inside and outside the body. The conjecture may be just rich in powder and tryptic inhibitor of soya bean and can impel the big mouse to form cancer in the diet because of the release of CCK. CCK and intestines urge pancreatic juice peptide to stimulate the carcinogen to cause pancreas cancer together. The recent experiment resists an artificial CCK receptor short of moneyly pharmaceutical is injected into the big mouse's body before the new living beings of pancreas form, prove the function that can prevent heavy nitrogen acetyl serine. But resist pharmaceuticals, take, study further even in clinical application while being short of money while being such. Lip river cut down his spit of fland (Lovastatin) --A medicine to reduce cholesterol, can inhibit the growth of pancreas cancer in the external experiment.
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Research verifies the smoker's danger is directly proportional to the intensity of smoking. To the person who gave up smoking from 10 to 15, it is dangerous and similar to non-smoker all one's life. Sucking the cigar, cigarette, tobacco pipe and person who chews tobacco has no difference in the dangerous respect.
Research that is distributed to the geographical area of pancreas cancer, such as the study on settler, fully explain the environmental factor, the carcinogenic function such as the diet. Animal's experiment proves the fatty diet relates to development of pancreas cancer. Other card diet such as meat and hyperpyrexia, especially high carbohydrate, milk product and marine food are relevant factors. And high fiber, crowd of the fruit and fresh vegetables suffer from less pancreas cancers in the diet structure. Though drink the dangerous factor that the caffeine alcohol beverage is considered to be increasing, but many study and does not support this kind of view.
Likewise, a lot of are studied not to support the relevance between diabetes and pancreas cancer either, have some prospective to study, reveal diabetes patient it suffers from danger, pancreas of cancers to be 4 times higher than other people. People find in recent years that often there is diabetes that break out in several months before pancreas cancer is confirmed, this discovery may remind doctors to the possibility which the middle aged patient without diabetic family's history considers the early pancreas cancer.
The job related to pancreas cancer is with chemical material and work that the metal contacts, the researcher thinks it is high and dangerous that men who works in the factory related to - naphthalene amine and benzene have the one that suffered from pancreas cancer.
The inherent cause of pancreas cancer has not been verified clearly yet, but there are reports that a family has illness coming on too. Recent research shows person who has malignant pancreas tumour is ill and dangerous and relatively high in the close relative.
The person under the age of 40 suffers from pancreas cancer fewly, average ill age is 63 years old, men are slightly higher than women. The mortality of pancreas cancer nearly keeps the same with morbidity, survival rate is very low in 5, and it is therapeutic to nearly all undergo an operation. About 4 months in life cycle of pancreas cancer patient not receiving treatment, the patient who accepts surgery treatment of the bypass is about 7 months in life cycle, the patient can generally survive for 16 months after the excision. According to the newest statistics, 20% of the patients are one year in life cycle, 3% of the patients were 5 life cycle.
Spend the loud mouse ' Heavy nitrogen acetyl serine) , Syrian hamster (amine or amine BOP of N - inferior nitre base pair [2 - third alkyl of oxygen ]) And guinea pig( Methyl inferior nitre base urea) The cancer model of pancreas of rodent duplicated has been already successful. The base complex of inferior nitre is most effective carcinogen to rodent. Include a large amount of saturated fat and promote the experimental big mouse to form cancer in the food. It is plain (CCK) to draw back the gallbladder Or its frog's skin of analog draws back gallbladder peptide (cerulein) Can stimulate the experimental animal to secrete the growth of pancreas inside and outside the body. The conjecture may be just rich in powder and tryptic inhibitor of soya bean and can impel the big mouse to form cancer in the diet because of the release of CCK. CCK and intestines urge pancreatic juice peptide to stimulate the carcinogen to cause pancreas cancer together. The recent experiment resists an artificial CCK receptor short of moneyly pharmaceutical is injected into the big mouse's body before the new living beings of pancreas form, prove the function that can prevent heavy nitrogen acetyl serine. But resist pharmaceuticals, take, study further even in clinical application while being short of money while being such. Lip river cut down his spit of fland (Lovastatin) --A medicine to reduce cholesterol, can inhibit the growth of pancreas cancer in the external experiment.
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Phased _'s general knowledge of pathology of the pancreas with main cancer
Phased _'s general knowledge of pathology of the pancreas with main cancer
Can offer phased information to check, reduce and cut open the quantity that the belly ascertains in this way in every kind of diagnosis, and increased and accepted the proportion which excises the skill patient. Think to these that will accept that excise the patient of the skill after CT, supersonic wave or ERCP check, some other inspection methods can offer more phased information. The researcher proposes by stages as pancreas cancer with peritoneoscope.
The intersection of CT and until angiography it combines to be can until patient of tumour go on by stages around the the intersection of pot and belly in front of the operation inspection. The or stopped up, has obviously reduced the possibility that the operation is excised the parcelling of the trunk, meanwhile, the patient with normal angiography may perform the operation and excise mostly. The angiography is very important before operation, it revealed the vascular abnormal state of upper abdomen, and this right liver of artery unusually relevant in artery with come from mesenterium usually, this kind of change can take place to 16%- 29% of the patients. , through the pancreas head, the liver blood artery disappears and is dangerous that the gallbladder leaks outside the liver because of this blood vessel.
The tumour mark is helpless to to the diagnosis of pancreas cancer or by stages, but may play a role in suring to the further treatment, embryo antigen of cancer (CEA) To a lot of patient being raised, but sensitivity low, patient raised too to some other benign and malignant tumour. CA19-9 may be more useful to the diagnosis of pancreas cancer than CEA, but does not have a specificity to pancreas cancer either, the patients of colon and bile duct tumour can rise. Other tumour mark things, such as cancer embryo antigen of DU-PAN-2 - pancreas and galactose transferase isoenzyme, do not have a general result, difficult to get.
Release time: 200
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Can offer phased information to check, reduce and cut open the quantity that the belly ascertains in this way in every kind of diagnosis, and increased and accepted the proportion which excises the skill patient. Think to these that will accept that excise the patient of the skill after CT, supersonic wave or ERCP check, some other inspection methods can offer more phased information. The researcher proposes by stages as pancreas cancer with peritoneoscope.
The intersection of CT and until angiography it combines to be can until patient of tumour go on by stages around the the intersection of pot and belly in front of the operation inspection. The or stopped up, has obviously reduced the possibility that the operation is excised the parcelling of the trunk, meanwhile, the patient with normal angiography may perform the operation and excise mostly. The angiography is very important before operation, it revealed the vascular abnormal state of upper abdomen, and this right liver of artery unusually relevant in artery with come from mesenterium usually, this kind of change can take place to 16%- 29% of the patients. , through the pancreas head, the liver blood artery disappears and is dangerous that the gallbladder leaks outside the liver because of this blood vessel.
The tumour mark is helpless to to the diagnosis of pancreas cancer or by stages, but may play a role in suring to the further treatment, embryo antigen of cancer (CEA) To a lot of patient being raised, but sensitivity low, patient raised too to some other benign and malignant tumour. CA19-9 may be more useful to the diagnosis of pancreas cancer than CEA, but does not have a specificity to pancreas cancer either, the patients of colon and bile duct tumour can rise. Other tumour mark things, such as cancer embryo antigen of DU-PAN-2 - pancreas and galactose transferase isoenzyme, do not have a general result, difficult to get.
Release time: 200
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Cancer health education _ prevention and health care of pancreas
Cancer health education _ prevention and health care of pancreas
1,Explain the relevant knowledge of disease, tell the reason which presents pain, introduce and help the method to relieve pain. 2,Introduce the precautionary measures of the fit method, postoperative common and uncomfortable and complication in operation environment, procedure, skill, postoperative and attend to the fit method etc.. 3,Explain the reason why jaundice appears and impact on skin, tell the reason that can't scratch the skin hard, introduce the skin self-protection method. 4,Tell the reason of obstacles of mechanisms of blood coagulation, advise and notice self-protection, avoid traumatism,etc.. 5,And healthy relation of explaining mood, advise keep mood steady, appropriate rest and doing exercises. 6,Recommend further treating ' Put, chemotherapy,etc.) Meaning, method, curative effect, it is uncomfortable since it is common and the prevention, expenseses necessaries of complication,etc. information. 7,Encourage insisting on treating, follow up a case by regular visits to regularly, find the unusual sign goes to a doctor in time.
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1,Explain the relevant knowledge of disease, tell the reason which presents pain, introduce and help the method to relieve pain. 2,Introduce the precautionary measures of the fit method, postoperative common and uncomfortable and complication in operation environment, procedure, skill, postoperative and attend to the fit method etc.. 3,Explain the reason why jaundice appears and impact on skin, tell the reason that can't scratch the skin hard, introduce the skin self-protection method. 4,Tell the reason of obstacles of mechanisms of blood coagulation, advise and notice self-protection, avoid traumatism,etc.. 5,And healthy relation of explaining mood, advise keep mood steady, appropriate rest and doing exercises. 6,Recommend further treating ' Put, chemotherapy,etc.) Meaning, method, curative effect, it is uncomfortable since it is common and the prevention, expenseses necessaries of complication,etc. information. 7,Encourage insisting on treating, follow up a case by regular visits to regularly, find the unusual sign goes to a doctor in time.
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Phased _'s general knowledge of pancreas cancer
Phased _'s general knowledge of pancreas cancer
Western medicine mean more international pancreas cancers TNM by stages and clinical by stages by stages:
1,International pancreas cancer TNM phased ( UICC, 1987) ,T mean, send tumour situation originally, N mean lymphocytic the intersection of transformation and situation, M mean distant place shifts the situation.
( 1) Send tumour (T) originally By stages:
Tx: Can't judge.
T0: Have not sent the tumour evidence originally.
T1: Swell and has not gone beyond the pancreas originally.
T1a: Tumour is less than or equal to 2cm.
T1b: Tumour> 2cm.
T2: Tumour infringes the duodenum, biliary tract or pancreas surrounding tissue.
T3: Tumour infringes stomach, spleen, colon, trunk.
( 2) Small regional lymph node (N) By stages
N x: Can't judge.
N 0: The regional lymph node has not been shifted.
N 1: There are regional lymph nodes that are shifted.
( 3) Shift (M) at a distance By stages:
Mx: Can't judge.
M0: There is no distant place to shift.
M1: There is distant place that is shifted.
2,Clinic is by stages
One: T1 N0 M0; T1 N M0; T N0 M0; T N M0.
2One: T2 N0 M0; T2 N M0; T3 N0 M0; T3 N M0.
One: Any T, N1, M0: .
One: Any T, any N, M1.
The clinic of pancreas cancer is important for surgery choosing and quality of therapeutic method by stages. The Japan pancreas is learnt to divide it into four issues: One: Unless it smaller than tumour diameter 2cm, it is shift to lymph nodes regional,it soak by pancreas, last membrane, behind peritoneum, portal vein, intravenous and spleen vein at mesenterium; 2One: Tumour diameter 2.1- 4.0cm, it is to close to tumour for lymph node be had, shifted,last membrane pancreas, behind may shift peritoneum and blood vessels aforesaid; One: Have tumour diameter 4.1- 6cm, the first stop and lymph node between the third stop, shift,last membrane pancreas and behind peritoneum be soaked to be had; One: Greater than tumour diameter by 6.1cm,shift the third stop lymph node, last visceras neighbouring, after soak peritoneum and veins aforesaid extensively.
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Western medicine mean more international pancreas cancers TNM by stages and clinical by stages by stages:
1,International pancreas cancer TNM phased ( UICC, 1987) ,T mean, send tumour situation originally, N mean lymphocytic the intersection of transformation and situation, M mean distant place shifts the situation.
( 1) Send tumour (T) originally By stages:
Tx: Can't judge.
T0: Have not sent the tumour evidence originally.
T1: Swell and has not gone beyond the pancreas originally.
T1a: Tumour is less than or equal to 2cm.
T1b: Tumour> 2cm.
T2: Tumour infringes the duodenum, biliary tract or pancreas surrounding tissue.
T3: Tumour infringes stomach, spleen, colon, trunk.
( 2) Small regional lymph node (N) By stages
N x: Can't judge.
N 0: The regional lymph node has not been shifted.
N 1: There are regional lymph nodes that are shifted.
( 3) Shift (M) at a distance By stages:
Mx: Can't judge.
M0: There is no distant place to shift.
M1: There is distant place that is shifted.
2,Clinic is by stages
One: T1 N0 M0; T1 N M0; T N0 M0; T N M0.
2One: T2 N0 M0; T2 N M0; T3 N0 M0; T3 N M0.
One: Any T, N1, M0: .
One: Any T, any N, M1.
The clinic of pancreas cancer is important for surgery choosing and quality of therapeutic method by stages. The Japan pancreas is learnt to divide it into four issues: One: Unless it smaller than tumour diameter 2cm, it is shift to lymph nodes regional,it soak by pancreas, last membrane, behind peritoneum, portal vein, intravenous and spleen vein at mesenterium; 2One: Tumour diameter 2.1- 4.0cm, it is to close to tumour for lymph node be had, shifted,last membrane pancreas, behind may shift peritoneum and blood vessels aforesaid; One: Have tumour diameter 4.1- 6cm, the first stop and lymph node between the third stop, shift,last membrane pancreas and behind peritoneum be soaked to be had; One: Greater than tumour diameter by 6.1cm,shift the third stop lymph node, last visceras neighbouring, after soak peritoneum and veins aforesaid extensively.
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's general knowledge of cause of disease of disease of the pancreas with main cancer
's general knowledge of cause of disease of disease of the pancreas with main cancer
For a long time, the research worker of tumour uses the methods of epidemiology and laboratory research, have analyzed factors such as age, gender, race, heredity, diet, nutrition, job, coffee and tobacco,etc., think pancreas cancer is caused by multifactor acting on repeatedly through extensive most of research. The high protein diet may relate to morbidity of pancreas cancer, this has already been verified in animal's experiment. Feed, raise little mouse, gastrin not secreted with big bean powder and contract gallbladder can irritate the pancreas organize hyperplasia and tubercle form while being plain. The epidemiology investigation has evidences that supports the above-mentioned view too, can cause gastrin to secrete increasing such as smoking, drinking coffee and drinking etc., they cause the function of pancreas cancer to wait to further prove.
People are watching the relation between chronic pancreatitis and pancreas cancer attentively full of interestly in recent years. Nog u eria found 2 in 136 cases of chronic calcification pancreatitis in 1985. 2's case, with pancreas cancer, the morbidity that more general crowd of this proportion hits pancreas cancer is nearly 100 times higher. In the becoming celestial in the report of a group of pancreas cancers, the person who has hyperplasia of conduit of pancreas tissue that cancerous swelling has not involved reached 41% unexpectedly, the hyperplasia of conduit may be that the function of the carcinogenic factor or endocrine is out-of-balance to cause. Have suitable person use big field mouse as experimental subjects, with comparable to the intersection of Lu and the intersection of cellophane and paper tape, make and wind the pancreas head, see the cell hyperplasia of skin on the main pancreatic duct of pancreas head promptly on postoperative 5 days, cup cells are grown, and then pancreatic duct around fiber take and the intersection of conduit and part block, prove the intersection of pancreatic duct and block, retention until leather hyperplasia with emergence, pancreas of cancer have close relation at the pancreatic duct.
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For a long time, the research worker of tumour uses the methods of epidemiology and laboratory research, have analyzed factors such as age, gender, race, heredity, diet, nutrition, job, coffee and tobacco,etc., think pancreas cancer is caused by multifactor acting on repeatedly through extensive most of research. The high protein diet may relate to morbidity of pancreas cancer, this has already been verified in animal's experiment. Feed, raise little mouse, gastrin not secreted with big bean powder and contract gallbladder can irritate the pancreas organize hyperplasia and tubercle form while being plain. The epidemiology investigation has evidences that supports the above-mentioned view too, can cause gastrin to secrete increasing such as smoking, drinking coffee and drinking etc., they cause the function of pancreas cancer to wait to further prove.
People are watching the relation between chronic pancreatitis and pancreas cancer attentively full of interestly in recent years. Nog u eria found 2 in 136 cases of chronic calcification pancreatitis in 1985. 2's case, with pancreas cancer, the morbidity that more general crowd of this proportion hits pancreas cancer is nearly 100 times higher. In the becoming celestial in the report of a group of pancreas cancers, the person who has hyperplasia of conduit of pancreas tissue that cancerous swelling has not involved reached 41% unexpectedly, the hyperplasia of conduit may be that the function of the carcinogenic factor or endocrine is out-of-balance to cause. Have suitable person use big field mouse as experimental subjects, with comparable to the intersection of Lu and the intersection of cellophane and paper tape, make and wind the pancreas head, see the cell hyperplasia of skin on the main pancreatic duct of pancreas head promptly on postoperative 5 days, cup cells are grown, and then pancreatic duct around fiber take and the intersection of conduit and part block, prove the intersection of pancreatic duct and block, retention until leather hyperplasia with emergence, pancreas of cancer have close relation at the pancreatic duct.
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The pathology of the pancreas with main cancer explains _'s general knowledge
The pathology of the pancreas with main cancer explains _'s general knowledge
Primary pancreas cancer can take place on any position of the pancreas, but with the head in order to see at most, account for 3 4; And the person who lies in body of pancreas, tail only accounts for 1 4. Head cancer of the pancreas stem from skin on the pancreatic duct more, the body of pancreas, tail cancer often stem from gland bubbles. Belly cancer of the pot is seen more with gland cancer, secondly it is papilla cancer, mucus cancer,etc..
The transformation of pancreas cancer is as follows, spread to the surrounding tissue to soak directly, including underpart of person in over-all charge of gallbladder, duodenum, stomach and transverse colon,etc.; Lymphocytic transformation pancreas head cancer is often shifted the lymph node group under the pylorus, body of pancreas, main transformation of end cancer are to the pancreas spleen lymph node group, can also invade and the lymph node by the mesenterium, aorta; Blood competent to shift, pass from transformation of portal vein to more liver, liver pass from up and down vena cava to lung place again since; Spread and often cause the continuation to have a backache because the lymphatic vessel around the nerve behind the peritoneum is soaked along the neurilemma; Plant the peritoneum, including big, small omentum.
Pancreas gland bubble cancer can secrete a large number of lipase, make the cover play or extensive necrosis happen in the adipose tissue in the bone marrow. Pancreas cancer can also be with the extensive thrombus phlebitis in the body sometimes, it may be that cancerous swelling blocked the pancreatic duct, cause trypsin to enter and circulate, make thrombinogen change into thrombese, therefore the one that has promoted blood is solidified.
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Primary pancreas cancer can take place on any position of the pancreas, but with the head in order to see at most, account for 3 4; And the person who lies in body of pancreas, tail only accounts for 1 4. Head cancer of the pancreas stem from skin on the pancreatic duct more, the body of pancreas, tail cancer often stem from gland bubbles. Belly cancer of the pot is seen more with gland cancer, secondly it is papilla cancer, mucus cancer,etc..
The transformation of pancreas cancer is as follows, spread to the surrounding tissue to soak directly, including underpart of person in over-all charge of gallbladder, duodenum, stomach and transverse colon,etc.; Lymphocytic transformation pancreas head cancer is often shifted the lymph node group under the pylorus, body of pancreas, main transformation of end cancer are to the pancreas spleen lymph node group, can also invade and the lymph node by the mesenterium, aorta; Blood competent to shift, pass from transformation of portal vein to more liver, liver pass from up and down vena cava to lung place again since; Spread and often cause the continuation to have a backache because the lymphatic vessel around the nerve behind the peritoneum is soaked along the neurilemma; Plant the peritoneum, including big, small omentum.
Pancreas gland bubble cancer can secrete a large number of lipase, make the cover play or extensive necrosis happen in the adipose tissue in the bone marrow. Pancreas cancer can also be with the extensive thrombus phlebitis in the body sometimes, it may be that cancerous swelling blocked the pancreatic duct, cause trypsin to enter and circulate, make thrombinogen change into thrombese, therefore the one that has promoted blood is solidified.
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Wednesday, January 30, 2013
Cancer _ general knowledge of pancreas
Cancer _ general knowledge of pancreas
Scheme: It is high can focus on the knife + chemotherapy + traditional Chinese medicine
Pancreas cancer is not abundant because of the pancreas blood vessel tissue, lack typical clinical manifestation in early days, when diagnosing clearly, have already belonged to more later period. Though the treating of pancreas cancer at present still takes surgery as the core, the excising rate of surgery is extremely low, pancreas the intersection of head and the intersection of cancer and person who excise, in about 15%, and pancreas body tail density low, in 5% being following.
So appear in recent years can focus knife on, can accommodate every the intersection of pancreas and cancer patient while being high, the result relieving pain is obvious, combining chemotherapy can further improve curative effect, traditional Chinese medicine should be selected for use, dispersed the depressed liver-energy to regulate the flow of vital energy, invigorate the spleen and remove dampness, the law of distributing silt and stopping the pain.
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Scheme: It is high can focus on the knife + chemotherapy + traditional Chinese medicine
Pancreas cancer is not abundant because of the pancreas blood vessel tissue, lack typical clinical manifestation in early days, when diagnosing clearly, have already belonged to more later period. Though the treating of pancreas cancer at present still takes surgery as the core, the excising rate of surgery is extremely low, pancreas the intersection of head and the intersection of cancer and person who excise, in about 15%, and pancreas body tail density low, in 5% being following.
So appear in recent years can focus knife on, can accommodate every the intersection of pancreas and cancer patient while being high, the result relieving pain is obvious, combining chemotherapy can further improve curative effect, traditional Chinese medicine should be selected for use, dispersed the depressed liver-energy to regulate the flow of vital energy, invigorate the spleen and remove dampness, the law of distributing silt and stopping the pain.
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Cancer clinical manifestation of pancreas and treating _'s treatment
Cancer clinical manifestation of pancreas and treating _'s treatment
Pancreas cancer
Skin and malignant tumour of the cell of pancreas island on conduit gland take place in pancreas cancer, among them lead cell cancer of arm and account for more than 90%. Occur frequently on middle-aged and old. Can be divided into pancreas head cancer, pancreas body cancer and pancreas end cancer. Its characteristic is short for course of disease, develops fast, mortality is high, the median is about 6 months of life cycle. The onset relates to diet and environmental factor. It is equivalent to traditional Chinese medicine, it " Yellow subcutaneous ulcer " , " Jia " , " gather " Wait for the disease.
[Clinical manifestation ]
It does not often have obvious symptom that it is early, or only have uncomfortable upper abdomen, pain, lose the appetite etc., there can be becoming thin, weak, yellow subcutaneous ulcer, back sharp pain,etc. and behave with condition progress in later period, the belly can often touch lump or hepatomegaly. Cancer cell sow symptoms such as the enlargement of lymph nodes,etc. at scattered transformation can have ascites, not clavicular.
[Diagnose ]
1. To the middle and upper abdominal distension pain, lose the appetite, the weight is lightened, diabetes of family's history does not happen suddenly, can check, make a definite diagnosis of through Ultrasonography B, CT or MRI, do to puncture examining or cutting open the belly to ascertain alive if necessary.
2. It is distinguished with chronic pancreatitis and yellow subcutaneous ulcer hepatitis that this disease answers. Check through relevant biochemical zymologies or the tumour mark such as CEA, CA19- 9,etc. is checked and can be distinguished.
[Treat ]
1. Medicine treatment of Western medicine
(1)Surgery treatment
(2)Radiotherapy: 60 multi-purpose cobalt treatments or linear accelerators produced the ray, total amount 40-60Gy.
(3)Chemotherapy: The daily medicine is 5 - Fu, MMC,etc., the base case is FAM: 5- Fu300mg/m2 vein is instilled, 2 times every week, the third, 5, 10, 12 days; ADM (A is (mould and plain) 30- 40mg/ m2 vein is washed, the 11th day; MMC4- the intersection of 6mg/ m2 and vein wash, l, 18 day. The above is a course of treatment every 3 weeks.
(4)Immunization therapy: BP plain 50mg, intramuscular injection or intravenous Li's note, 1 times a day, uses together for 60 days. To lengthening the life, have better curative effect to improve life quality.
2,Traditional Chinese medicine treatment
(1)Cold wet tired spleen: White eyeball and skin yellow, if color smoke, the intersection of belly and secret anguish, sick to vomit, suffer from diarrhoea, tongue light tongue oily, pulse sinks late.
Manage the law: It is cold and wet that warm to melt, invigorating the spleen and stomach.
Square medicine: Herba Artemisiae Scopariae (and then leave) , Herba Lobeliae Chinensis, grow the intersection of Yi and the intersection of benevolence and 30 respectively, pale skill, umbellate pore furgus, the intersection of Sichuan and Piao, tuber of pinellia, select rush down, all 15 of son in front of the bus, do each 11 grams of gingers, dried orange peel, make 9 grams of Radix Aconiti Lateralis Preparata.
(2)Silt of stagnation of the blood of liver: One is yellow and dark and gloomy, the belly very aches, it is thin and white that the tongue has ecchymosis, tongue secretly, the pulse string is astringent.
Manage the law: Blood circulation promoting silt, disperse the depressed liver-energy and retreat yellow.
Square medicine: Radix Rehmanniae, peach kernel, safflower, Rhizoma Chuanxiong, E's skill, 15 grams respectively of Radix Paeoniae Rubra, root of red-rooted salvia, roast meat mountain first are 18 grams respectively, Hu, dried fruit of citron, fragrant to enclose, 12 grams respectively of Chinese angelica Chai, 30 grams of Herba Artemisiae Scopariae.
(3)Disease and empty silt are formed: Eye pearl and skin are yellow to the limit, the color is dark, the abdominal distension pain can and charter the piece, physique Lei is thin. It is thin and oily that it has ecchymosis, tongue secretly that the tongue is purple, the pulse string is thin and astringent.
Manage the law: Soft to break up and form firmly, support and retreat yellow.
Square medicine: Turtle shell, donkey-hide gelatin, Radix Arnebiae every Io gram, rhubarb, Radix Paeoniae Rubra, root bark of tree peony, peach kernel, tuber of pinellia, Chinese angelica, rhizome of large-headed atractylodes, Indian bread are 15 grams respectively, 20 grams respectively of ginseng, Herba Solani Nigri, wood is fragrant 12 grams.
Chinese medicine: Fit, support straight capsule for capsule, favourable good movie, loyal stilbene, preparation ache pieces of clever oral liquid, resist tumour detoxify capsule, take on fragrant alkene and health Letts inject in the the intersection of Chinese-Japan Friendship Hospital and courtyard
[Prevent and recuperate ]
1. Avoid taking the stimulating food and tobacco and wine, avoid the food difficult to digest such as being greasy. The diet should be light, enter little protein of animal.
2. Should do exercises in gymnastics as soon as possible while being postoperative, practise quiet work first, available horizontal or holding type, the personal body state takes a favorable turn, use vertical, new qigong, taijiquan,etc. instead gradually.
3. Reexamine time: Reexamine once a October generally while being postoperative. It is generally half a year to reexamine once a year since 3 years later. If recur and shift the sign and should make a diagnosis and give treatment at any time.
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Pancreas cancer
Skin and malignant tumour of the cell of pancreas island on conduit gland take place in pancreas cancer, among them lead cell cancer of arm and account for more than 90%. Occur frequently on middle-aged and old. Can be divided into pancreas head cancer, pancreas body cancer and pancreas end cancer. Its characteristic is short for course of disease, develops fast, mortality is high, the median is about 6 months of life cycle. The onset relates to diet and environmental factor. It is equivalent to traditional Chinese medicine, it " Yellow subcutaneous ulcer " , " Jia " , " gather " Wait for the disease.
[Clinical manifestation ]
It does not often have obvious symptom that it is early, or only have uncomfortable upper abdomen, pain, lose the appetite etc., there can be becoming thin, weak, yellow subcutaneous ulcer, back sharp pain,etc. and behave with condition progress in later period, the belly can often touch lump or hepatomegaly. Cancer cell sow symptoms such as the enlargement of lymph nodes,etc. at scattered transformation can have ascites, not clavicular.
[Diagnose ]
1. To the middle and upper abdominal distension pain, lose the appetite, the weight is lightened, diabetes of family's history does not happen suddenly, can check, make a definite diagnosis of through Ultrasonography B, CT or MRI, do to puncture examining or cutting open the belly to ascertain alive if necessary.
2. It is distinguished with chronic pancreatitis and yellow subcutaneous ulcer hepatitis that this disease answers. Check through relevant biochemical zymologies or the tumour mark such as CEA, CA19- 9,etc. is checked and can be distinguished.
[Treat ]
1. Medicine treatment of Western medicine
(1)Surgery treatment
(2)Radiotherapy: 60 multi-purpose cobalt treatments or linear accelerators produced the ray, total amount 40-60Gy.
(3)Chemotherapy: The daily medicine is 5 - Fu, MMC,etc., the base case is FAM: 5- Fu300mg/m2 vein is instilled, 2 times every week, the third, 5, 10, 12 days; ADM (A is (mould and plain) 30- 40mg/ m2 vein is washed, the 11th day; MMC4- the intersection of 6mg/ m2 and vein wash, l, 18 day. The above is a course of treatment every 3 weeks.
(4)Immunization therapy: BP plain 50mg, intramuscular injection or intravenous Li's note, 1 times a day, uses together for 60 days. To lengthening the life, have better curative effect to improve life quality.
2,Traditional Chinese medicine treatment
(1)Cold wet tired spleen: White eyeball and skin yellow, if color smoke, the intersection of belly and secret anguish, sick to vomit, suffer from diarrhoea, tongue light tongue oily, pulse sinks late.
Manage the law: It is cold and wet that warm to melt, invigorating the spleen and stomach.
Square medicine: Herba Artemisiae Scopariae (and then leave) , Herba Lobeliae Chinensis, grow the intersection of Yi and the intersection of benevolence and 30 respectively, pale skill, umbellate pore furgus, the intersection of Sichuan and Piao, tuber of pinellia, select rush down, all 15 of son in front of the bus, do each 11 grams of gingers, dried orange peel, make 9 grams of Radix Aconiti Lateralis Preparata.
(2)Silt of stagnation of the blood of liver: One is yellow and dark and gloomy, the belly very aches, it is thin and white that the tongue has ecchymosis, tongue secretly, the pulse string is astringent.
Manage the law: Blood circulation promoting silt, disperse the depressed liver-energy and retreat yellow.
Square medicine: Radix Rehmanniae, peach kernel, safflower, Rhizoma Chuanxiong, E's skill, 15 grams respectively of Radix Paeoniae Rubra, root of red-rooted salvia, roast meat mountain first are 18 grams respectively, Hu, dried fruit of citron, fragrant to enclose, 12 grams respectively of Chinese angelica Chai, 30 grams of Herba Artemisiae Scopariae.
(3)Disease and empty silt are formed: Eye pearl and skin are yellow to the limit, the color is dark, the abdominal distension pain can and charter the piece, physique Lei is thin. It is thin and oily that it has ecchymosis, tongue secretly that the tongue is purple, the pulse string is thin and astringent.
Manage the law: Soft to break up and form firmly, support and retreat yellow.
Square medicine: Turtle shell, donkey-hide gelatin, Radix Arnebiae every Io gram, rhubarb, Radix Paeoniae Rubra, root bark of tree peony, peach kernel, tuber of pinellia, Chinese angelica, rhizome of large-headed atractylodes, Indian bread are 15 grams respectively, 20 grams respectively of ginseng, Herba Solani Nigri, wood is fragrant 12 grams.
Chinese medicine: Fit, support straight capsule for capsule, favourable good movie, loyal stilbene, preparation ache pieces of clever oral liquid, resist tumour detoxify capsule, take on fragrant alkene and health Letts inject in the the intersection of Chinese-Japan Friendship Hospital and courtyard
[Prevent and recuperate ]
1. Avoid taking the stimulating food and tobacco and wine, avoid the food difficult to digest such as being greasy. The diet should be light, enter little protein of animal.
2. Should do exercises in gymnastics as soon as possible while being postoperative, practise quiet work first, available horizontal or holding type, the personal body state takes a favorable turn, use vertical, new qigong, taijiquan,etc. instead gradually.
3. Reexamine time: Reexamine once a October generally while being postoperative. It is generally half a year to reexamine once a year since 3 years later. If recur and shift the sign and should make a diagnosis and give treatment at any time.
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Pancreas cancer --Cancer _ general knowledge of tubular gland
Pancreas cancer --Cancer _ general knowledge of tubular gland
Tumour of exocrinosity of pancreas comes from the pancreas and is in charge of cells and gland afterbirth cells. Endocrine tumour is secreted cells to happen by Langerhans' islits and gastrin, much hormone emerges frequently.
Exocrinosity tumour
Tubular gland cancer
Gland cancer of the pancreas of exocrinosity is managed 9 times more of persons who are relatively taken place by gland bubble cells of persons who happen of cell by the pancreas. 80% happen on the pancreas head. It is 55 years old that the mean age of cancerous swelling happens, men exceed 1.5~2.0 times of women.
Symptom and physical sign
Symptom did not appear until later stage of disease, when diagnosing and establishing, already some progress of tumour of 90% of the patients, and the peritoneum structure, spread to some lymph node or shift the liver or lung after involving directly. The weight lightens and suffers from abdominal pain, the patient in most later period appears. The intersection of gland and cancer might cause getting obstructive jaundice, if tumour lie in body departments and tails of pancreas, may cause the intersection of spleen and vein block, huge the intersection of spleen and disease, stomach and esophagus variceal and gastrointestinal tract bleed. Most patients have serious going on upper abdomens to pain, often radiate to the back. Though pain of pancreas cancer is lightened through curly body posture or the simulation foetus' posture, but all patients need to anaesthetize antalgesic finally.
Diagnosis
The inspection result of routine test lab is often normal. If have bile ducts are blocked or the liver is shifted, there is rising of alkaline phosphatase and bilirubin. Hyperglycemia can be seen to 25%~50% of the patients; Overwhelming majority to continue, send on the intersection of pancreas and cancer among them, can also rise with long-term cancer morbidity of pancreas of diabetic, especially women patient. The relevant antigen of pancreas, including monoclonal antibody CA19-9, CA50, DU-PAN-2, SPAN-1, PCAA, embryo antigen of cancer and pancreas tumour fetus antigen, not reliable, because these indexes are not having limitation pancreas cancering shifted that is not rising, in can rise too in the the intersection of pancreas and patient. In some cases, they may contribute to the definite diagnosis of pancreas cancer, the differentiation of the good malignant pancreas disease and treatment of cancerous swelling patient, because to the pancreas cancer patient who is already made a definite diagnosis of, its density is raised, brief on disease progress.
Accuracy and expense effect best method to carry on CT check at first the most. If CT check pathological change of shifting etc. can't excised to find, can puncture, make histology, diagnose by the intersection of skin and thin needle; If CT checks and shows tumour that can be excised or not finds tumour, the mirror (though has not employed extensively) in the feasible supersound In order to carry on tumour by stages or seek and visit the little tumour that CT can't be found. Other commonly used methods are the pancreas radiography of driving in the wrong direction under supersound and inner mirror. MRI is not more accurate than CT. Artery radiography (used mainly for confirming the possibility of the operation) Tested with the pancreas function fewly and employed. Under a few situations, need to cut open the belly to ascertain.
Prognosis and treating
Total the survival rate of 5 years ' 2%. If tumour is limited to the pancreas head (less than or equal to 2cm) This rarely seen on 10% patient, implement pancreas excise skill or the intersection of Whipple and surgery (pancreas duodenum excise the skill) all ,There can be 15%~20% survival rate of 5 years. Can improve survival rate to treat to shine auxiliarily to employ 5 - FU and exterior light beam behind surgery. To the operation, auxiliary 5- FU and adds the patient who uses radiotherapy, survival rate reached 40% its 2. Find tumour that can't excise and have stomach duodenum or obstructive existence or possible of bile duct such as the operation, implement the stomach and operation of a pair of bypass of bile duct. , it is relatively high to put it into the relieving rate of jaundice of the bile duct under the mirror in adopting. Or in the the intersection of operation and dangerous high patient in 1~2 month in short-lived expectancy, put Stent mould and is superior to the surgical bypass operation under the mirror in adopting. However, 6~7 months if to life expectancy, even if the patient that the operation can't be excised, still consider the surgical bypass operation, because Stent fixed mould is blocked with the duodenum or repeated biliary tract and later period complication.
Have not revealed that use medicine singly or jointly treat and can lengthen or improve life quality. The medicine has been 5 - FU that the ones that have already been tried out used separately, purine of first ammonia butterfly, actinomycetes plain D, A is mould and plain, the card does not manage the spit of fland, the department does not manage assisting the star in spit of fland and chain. Have already been included FAM (5 - FU, A is mould and plain and mitomycin C) by the union treatment trying out ,FAMMC (5 - FU, A mould and plain, mitomycin C and department does not manage the spit of fland) And SMF (chain assists the star, mitomycin and 5 - FU) . Radiotherapy is compared with using separately, 5 - FU and radiotherapy (4500~5000cGy) Treat to some tumour patient that does not been excised jointly,be be can improve by survival ratedded. New preparation (such as gemcitabine) Perhaps more effective than the chemotherapy method based on 5 - FU. Patient that can excise to some tumour, the electronic light beam shines (4500~5500cGy) in the skill Or 125I plants into(120~210cGy) Can limit the progress of tumour somely, but relatively can not improve survival rate to shine with the other light beam. Should for the jointly treating of medicine and radiotherapy to some patient who can't excise tumour of great majority; Can only for drug therapy to shift a patient to the liver.
Most pancreas cancer patients will go through and pain and die finally. So the treatment is as important as controlling disease to the ill, should offer these patients appropriate approaching one's end care (see section 294) .
For control slight pain, aspirin 0.65g or may effective (control on pain to the intersection of acetyl and amino phenol, see the painful control of section 119) . Middle may be added with taking orally opium and lighten to severe pain. To chronic pain, long-efficiency preparation (if taking orally morphine; Injected the fragrant Buddhist nun) very much by the cover The result is the best. Close and can produce the obvious result in most patients by the cover or abdominal cavity's nerve of operation viscera. To the unable patient who tolerate pain, the skin is left, the vein, offering opium can relieve pain outside the hard membrane or in the sheath. If the palliative operation can't be lightened and continued pruritus of the hair at the obstructive jaundice, can use and subdue amine of gallbladder (oral 4g, or 4 times) 1 times a day . Phenobarbital (daily 2~4mg/kg, divides into dosage 3~4 times, limit in the range of 10~40 g/ml, in case that excessively lull) Helpful too sometimes.
Person who secrete the intersection of pancreas and function should use the intersection of pig and the intersection of pancreas and the intersection of enzyme and every the intersection of meal and 6~8 while being complete, take 2 slices while just having a dinner to the outside, take 2 slices while having a dinner to finish, the rest are taken during having meal. Should guard and control diabetes carefully.
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Tumour of exocrinosity of pancreas comes from the pancreas and is in charge of cells and gland afterbirth cells. Endocrine tumour is secreted cells to happen by Langerhans' islits and gastrin, much hormone emerges frequently.
Exocrinosity tumour
Tubular gland cancer
Gland cancer of the pancreas of exocrinosity is managed 9 times more of persons who are relatively taken place by gland bubble cells of persons who happen of cell by the pancreas. 80% happen on the pancreas head. It is 55 years old that the mean age of cancerous swelling happens, men exceed 1.5~2.0 times of women.
Symptom and physical sign
Symptom did not appear until later stage of disease, when diagnosing and establishing, already some progress of tumour of 90% of the patients, and the peritoneum structure, spread to some lymph node or shift the liver or lung after involving directly. The weight lightens and suffers from abdominal pain, the patient in most later period appears. The intersection of gland and cancer might cause getting obstructive jaundice, if tumour lie in body departments and tails of pancreas, may cause the intersection of spleen and vein block, huge the intersection of spleen and disease, stomach and esophagus variceal and gastrointestinal tract bleed. Most patients have serious going on upper abdomens to pain, often radiate to the back. Though pain of pancreas cancer is lightened through curly body posture or the simulation foetus' posture, but all patients need to anaesthetize antalgesic finally.
Diagnosis
The inspection result of routine test lab is often normal. If have bile ducts are blocked or the liver is shifted, there is rising of alkaline phosphatase and bilirubin. Hyperglycemia can be seen to 25%~50% of the patients; Overwhelming majority to continue, send on the intersection of pancreas and cancer among them, can also rise with long-term cancer morbidity of pancreas of diabetic, especially women patient. The relevant antigen of pancreas, including monoclonal antibody CA19-9, CA50, DU-PAN-2, SPAN-1, PCAA, embryo antigen of cancer and pancreas tumour fetus antigen, not reliable, because these indexes are not having limitation pancreas cancering shifted that is not rising, in can rise too in the the intersection of pancreas and patient. In some cases, they may contribute to the definite diagnosis of pancreas cancer, the differentiation of the good malignant pancreas disease and treatment of cancerous swelling patient, because to the pancreas cancer patient who is already made a definite diagnosis of, its density is raised, brief on disease progress.
Accuracy and expense effect best method to carry on CT check at first the most. If CT check pathological change of shifting etc. can't excised to find, can puncture, make histology, diagnose by the intersection of skin and thin needle; If CT checks and shows tumour that can be excised or not finds tumour, the mirror (though has not employed extensively) in the feasible supersound In order to carry on tumour by stages or seek and visit the little tumour that CT can't be found. Other commonly used methods are the pancreas radiography of driving in the wrong direction under supersound and inner mirror. MRI is not more accurate than CT. Artery radiography (used mainly for confirming the possibility of the operation) Tested with the pancreas function fewly and employed. Under a few situations, need to cut open the belly to ascertain.
Prognosis and treating
Total the survival rate of 5 years ' 2%. If tumour is limited to the pancreas head (less than or equal to 2cm) This rarely seen on 10% patient, implement pancreas excise skill or the intersection of Whipple and surgery (pancreas duodenum excise the skill) all ,There can be 15%~20% survival rate of 5 years. Can improve survival rate to treat to shine auxiliarily to employ 5 - FU and exterior light beam behind surgery. To the operation, auxiliary 5- FU and adds the patient who uses radiotherapy, survival rate reached 40% its 2. Find tumour that can't excise and have stomach duodenum or obstructive existence or possible of bile duct such as the operation, implement the stomach and operation of a pair of bypass of bile duct. , it is relatively high to put it into the relieving rate of jaundice of the bile duct under the mirror in adopting. Or in the the intersection of operation and dangerous high patient in 1~2 month in short-lived expectancy, put Stent mould and is superior to the surgical bypass operation under the mirror in adopting. However, 6~7 months if to life expectancy, even if the patient that the operation can't be excised, still consider the surgical bypass operation, because Stent fixed mould is blocked with the duodenum or repeated biliary tract and later period complication.
Have not revealed that use medicine singly or jointly treat and can lengthen or improve life quality. The medicine has been 5 - FU that the ones that have already been tried out used separately, purine of first ammonia butterfly, actinomycetes plain D, A is mould and plain, the card does not manage the spit of fland, the department does not manage assisting the star in spit of fland and chain. Have already been included FAM (5 - FU, A is mould and plain and mitomycin C) by the union treatment trying out ,FAMMC (5 - FU, A mould and plain, mitomycin C and department does not manage the spit of fland) And SMF (chain assists the star, mitomycin and 5 - FU) . Radiotherapy is compared with using separately, 5 - FU and radiotherapy (4500~5000cGy) Treat to some tumour patient that does not been excised jointly,be be can improve by survival ratedded. New preparation (such as gemcitabine) Perhaps more effective than the chemotherapy method based on 5 - FU. Patient that can excise to some tumour, the electronic light beam shines (4500~5500cGy) in the skill Or 125I plants into(120~210cGy) Can limit the progress of tumour somely, but relatively can not improve survival rate to shine with the other light beam. Should for the jointly treating of medicine and radiotherapy to some patient who can't excise tumour of great majority; Can only for drug therapy to shift a patient to the liver.
Most pancreas cancer patients will go through and pain and die finally. So the treatment is as important as controlling disease to the ill, should offer these patients appropriate approaching one's end care (see section 294) .
For control slight pain, aspirin 0.65g or may effective (control on pain to the intersection of acetyl and amino phenol, see the painful control of section 119) . Middle may be added with taking orally opium and lighten to severe pain. To chronic pain, long-efficiency preparation (if taking orally morphine; Injected the fragrant Buddhist nun) very much by the cover The result is the best. Close and can produce the obvious result in most patients by the cover or abdominal cavity's nerve of operation viscera. To the unable patient who tolerate pain, the skin is left, the vein, offering opium can relieve pain outside the hard membrane or in the sheath. If the palliative operation can't be lightened and continued pruritus of the hair at the obstructive jaundice, can use and subdue amine of gallbladder (oral 4g, or 4 times) 1 times a day . Phenobarbital (daily 2~4mg/kg, divides into dosage 3~4 times, limit in the range of 10~40 g/ml, in case that excessively lull) Helpful too sometimes.
Person who secrete the intersection of pancreas and function should use the intersection of pig and the intersection of pancreas and the intersection of enzyme and every the intersection of meal and 6~8 while being complete, take 2 slices while just having a dinner to the outside, take 2 slices while having a dinner to finish, the rest are taken during having meal. Should guard and control diabetes carefully.
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Pancreas cancer bile duct cancer liver cirrhosis treat _'s treatment
Pancreas cancer, bile duct cancer liver cirrhosis treat _'s treatment
Take surgery treatment as the core, one section of cancers under early pancreas head cancer, bile duct, the feasible pancreas duodenum excises the skill; The pancreas body tail person should walk and include the pancreas body tail in the spleen eight to excise; Bile duct cancer in the upside of China. Cancer excise and lymph node do and then gallbladder clean, to walk bile duct ' Liver) In charge of anastomosis, Roux-y of jejunum, some case can competent person who condone excision add the intersection of gallbladder and drainage under intestines only. The case that can't be excised is only guided in the gallbladder intestines in order to lighten jaundice. The persons who can't be excised of bile duct can make " T " Shape, " girl " Shape, " U " Shape,etc. supports and guides, or put titanium nickel memory alloy support to support, or the radiotherapy of walking. Or only make and puncture the drainage of bile duct (PTCD) by the liver of skin . Later period the intersection of case and feasible chemotherapy or the intersection of mirror and the intersection of laser and treatment try, at the same time should offer, protect liver and support to treat. The intersection of disease and prognostic difference this, radically treat 5 years after the operation ox checking rate lower. Pancreas cancer person is only this 10%, bile duct cancer is 0%-33%.
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Take surgery treatment as the core, one section of cancers under early pancreas head cancer, bile duct, the feasible pancreas duodenum excises the skill; The pancreas body tail person should walk and include the pancreas body tail in the spleen eight to excise; Bile duct cancer in the upside of China. Cancer excise and lymph node do and then gallbladder clean, to walk bile duct ' Liver) In charge of anastomosis, Roux-y of jejunum, some case can competent person who condone excision add the intersection of gallbladder and drainage under intestines only. The case that can't be excised is only guided in the gallbladder intestines in order to lighten jaundice. The persons who can't be excised of bile duct can make " T " Shape, " girl " Shape, " U " Shape,etc. supports and guides, or put titanium nickel memory alloy support to support, or the radiotherapy of walking. Or only make and puncture the drainage of bile duct (PTCD) by the liver of skin . Later period the intersection of case and feasible chemotherapy or the intersection of mirror and the intersection of laser and treatment try, at the same time should offer, protect liver and support to treat. The intersection of disease and prognostic difference this, radically treat 5 years after the operation ox checking rate lower. Pancreas cancer person is only this 10%, bile duct cancer is 0%-33%.
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Pancreas cancer and clinical symptom and _ symptom
Pancreas cancer and clinical symptom and _ symptom
Initial symptom has obstacle of intestines and stomach, losing the appetite,etc.; It is dull pain that the continuation of upper abdomen has nothing to do with the diet; Not liking the fat cooked food, will present the fat and play dysentery too, this is that fat has not been digested, and what mixed, excreted with excrement and urine out made dysentery symptom.
1,Suffer from abdominal pain for the early symptom of pancreas cancer, see more body of pancreas and pancreas end cancer, lie in the upper abdomen, umbilicus week or right upper abdomen, properties are angina, popping or what continuation, going on are aggravated is dull pain, mostly radiate to the waist back, lie in the location and aggravate at night, sit, set up, lean forward the location or pain can be lightened when getting about.
2,There can be jaundice in a certain stage that jaundice is in the course of disease, general pancreas head cancer and jaundice are more seen, and relatively appear early, cancerous swelling does not have more jaundice when limited to the body, tail. It is obstructive that there is much jaundice, present going on intensification, with symptoms such as skin pruritus,etc..
3,About 90% of the patients have the weight that shows development rapidly to lighten, in the cancer later period of pancreas often with evil quality.
4,Weak and lose the appetite and very common, gastrointestinal symptoms such as constipation, abdominal distension, nausea,etc. with suffering from diarrhoea in line. Some cases can present fat rushing down and hyperglycemia, glycosuria.
5,Because cancerous swelling is festered or infected, can also generate heat because of continuing the hair bile duct to infect.
6,Body of some pancreas, tail cancerous swelling can see the intravenous thrombus phlebitis of limb, and cause edema of some limb.
7,Besides finding jaundice, there can be tenderness of upper abdomen in the physical examination. Can touch the tubercle, quality hard lump on the upper abdomen in later period. If jaundice accompanies big brave cyst, it is the important basis of pancreas head cancer. Because the bile is deposited, can often lay one's hand on and the liver is swelling. If cancerous swelling oppress the intersection of spleen and intravenous or spleen when the phlebothrombosis, can lay one's hand on and splenomegaly.
8,Pancreas the intersection of cancer and case can present ascites, can fall into concave to lay one's hand on the hard and swelling transformation lymph node on clavicular left or in front of the rectum later period.
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Initial symptom has obstacle of intestines and stomach, losing the appetite,etc.; It is dull pain that the continuation of upper abdomen has nothing to do with the diet; Not liking the fat cooked food, will present the fat and play dysentery too, this is that fat has not been digested, and what mixed, excreted with excrement and urine out made dysentery symptom.
1,Suffer from abdominal pain for the early symptom of pancreas cancer, see more body of pancreas and pancreas end cancer, lie in the upper abdomen, umbilicus week or right upper abdomen, properties are angina, popping or what continuation, going on are aggravated is dull pain, mostly radiate to the waist back, lie in the location and aggravate at night, sit, set up, lean forward the location or pain can be lightened when getting about.
2,There can be jaundice in a certain stage that jaundice is in the course of disease, general pancreas head cancer and jaundice are more seen, and relatively appear early, cancerous swelling does not have more jaundice when limited to the body, tail. It is obstructive that there is much jaundice, present going on intensification, with symptoms such as skin pruritus,etc..
3,About 90% of the patients have the weight that shows development rapidly to lighten, in the cancer later period of pancreas often with evil quality.
4,Weak and lose the appetite and very common, gastrointestinal symptoms such as constipation, abdominal distension, nausea,etc. with suffering from diarrhoea in line. Some cases can present fat rushing down and hyperglycemia, glycosuria.
5,Because cancerous swelling is festered or infected, can also generate heat because of continuing the hair bile duct to infect.
6,Body of some pancreas, tail cancerous swelling can see the intravenous thrombus phlebitis of limb, and cause edema of some limb.
7,Besides finding jaundice, there can be tenderness of upper abdomen in the physical examination. Can touch the tubercle, quality hard lump on the upper abdomen in later period. If jaundice accompanies big brave cyst, it is the important basis of pancreas head cancer. Because the bile is deposited, can often lay one's hand on and the liver is swelling. If cancerous swelling oppress the intersection of spleen and intravenous or spleen when the phlebothrombosis, can lay one's hand on and splenomegaly.
8,Pancreas the intersection of cancer and case can present ascites, can fall into concave to lay one's hand on the hard and swelling transformation lymph node on clavicular left or in front of the rectum later period.
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Pancreas cancer and clinical characteristic _ symptom
Pancreas cancer and clinical characteristic _ symptom
It is one of the common digestive system malignant tumour, patient's age is at 40- 70 years old more, see more men. Occur frequently on the intersection of pancreas and the intersection of hair and position ' Accounts for 70%- 80%) ,Can present many centres to sow scatteredly, the malignant intensity is high, and difficult to find in early days. The excising rate of operation is low and difficult in order that completely, it is only 5% to excise the survival rate of 5 years after the operation.
[Clinical feature ]
1,Suffer from abdominal pain often in order to first publish symptom, it is the body of pancreas, pancreas end cancer and most common symptom too. Suffer from abdominal pain position in the intersection of middle and upper abdomen, often present continuation, going on aggravation. Cancerous swelling can show as getting obstinate low-back pain later period, brief cancerous swelling on the intersection of belly and wall and the intersection of abdominal cavity and neural clump infringe already.
2,Jaundice and obstructive jaundice are pancreas head cancer and most outstanding symptom, generally present the going on and aggravate, accompany skin pruritus, the urine is presented densely and dark brown, the stool can present color of potter's clay.
3,Become thin weak caused by cancerous swelling physique consume, lose the appetite and pancreas function insufficient and lasting abdominal pain influence, sleep and have a rest seriously, the patient can present the weight decline rapidly, the evil liquid quality sign of whole body such as being weak that become thin.
4,The intersection of digestive tract and symptom list blockage because of bile and pancreatic juice, enable gastrointestinal disorders of digestion, the patient often has appetite failing, sick, vomits, the abdominal distension and diarrhoea.
5,Persons who obstruct with the biliary tract, serum bilirubin (mainly direct bilirubin) Can increase notably, alkaline phosphatase is raised, some patient empty stomach blood glucose rises, the sugar tolerance test presents the diabetic curve.
6,Pancreas cholangiography of the back run (ERCP) Reveal the pancreatic duct is narrow, with stiff and expanding, cutting off, shifting tube wall.
7,In charge of the radiography (PTC) by the liver and gall of skin Can reveal the bile duct is expanded in the liver, the pancreatic duct is full of defect, cut off, shift, the tube wall is stiff.
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It is one of the common digestive system malignant tumour, patient's age is at 40- 70 years old more, see more men. Occur frequently on the intersection of pancreas and the intersection of hair and position ' Accounts for 70%- 80%) ,Can present many centres to sow scatteredly, the malignant intensity is high, and difficult to find in early days. The excising rate of operation is low and difficult in order that completely, it is only 5% to excise the survival rate of 5 years after the operation.
[Clinical feature ]
1,Suffer from abdominal pain often in order to first publish symptom, it is the body of pancreas, pancreas end cancer and most common symptom too. Suffer from abdominal pain position in the intersection of middle and upper abdomen, often present continuation, going on aggravation. Cancerous swelling can show as getting obstinate low-back pain later period, brief cancerous swelling on the intersection of belly and wall and the intersection of abdominal cavity and neural clump infringe already.
2,Jaundice and obstructive jaundice are pancreas head cancer and most outstanding symptom, generally present the going on and aggravate, accompany skin pruritus, the urine is presented densely and dark brown, the stool can present color of potter's clay.
3,Become thin weak caused by cancerous swelling physique consume, lose the appetite and pancreas function insufficient and lasting abdominal pain influence, sleep and have a rest seriously, the patient can present the weight decline rapidly, the evil liquid quality sign of whole body such as being weak that become thin.
4,The intersection of digestive tract and symptom list blockage because of bile and pancreatic juice, enable gastrointestinal disorders of digestion, the patient often has appetite failing, sick, vomits, the abdominal distension and diarrhoea.
5,Persons who obstruct with the biliary tract, serum bilirubin (mainly direct bilirubin) Can increase notably, alkaline phosphatase is raised, some patient empty stomach blood glucose rises, the sugar tolerance test presents the diabetic curve.
6,Pancreas cholangiography of the back run (ERCP) Reveal the pancreatic duct is narrow, with stiff and expanding, cutting off, shifting tube wall.
7,In charge of the radiography (PTC) by the liver and gall of skin Can reveal the bile duct is expanded in the liver, the pancreatic duct is full of defect, cut off, shift, the tube wall is stiff.
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Pancreas cancer --Papilla - _ general knowledge of mucinous tumour in the tube
Pancreas cancer --Papilla - _ general knowledge of mucinous tumour in the tube
Describe recently, main pancreatic duct and with mucinous syndrome that secrete in a large amount branched expansion.
Pancreas source sudden pain and mucoprotein (huge bag) happen Superfluous living beings (bag adenoma, gland cancer of the bag) With the papilla - mucinous tumour (IPMT) in the tube Have something to do. The operation finds 30% of the IPMT is malignant, but the natural medical history is not quite clear. The image in charge of learns to display and often result in misdiagnosing for chronic pancreatitis, but in ERCP, the mucus is full of defect (this conforms with globular mucus) from the papilla It is nearly characteristic manifestation. Because the manifestation can't distinguish with invading malignant disease, it is the best therapeutic method that the surgery excises the bad position of development.
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Describe recently, main pancreatic duct and with mucinous syndrome that secrete in a large amount branched expansion.
Pancreas source sudden pain and mucoprotein (huge bag) happen Superfluous living beings (bag adenoma, gland cancer of the bag) With the papilla - mucinous tumour (IPMT) in the tube Have something to do. The operation finds 30% of the IPMT is malignant, but the natural medical history is not quite clear. The image in charge of learns to display and often result in misdiagnosing for chronic pancreatitis, but in ERCP, the mucus is full of defect (this conforms with globular mucus) from the papilla It is nearly characteristic manifestation. Because the manifestation can't distinguish with invading malignant disease, it is the best therapeutic method that the surgery excises the bad position of development.
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Pancreas cancer and clinical feature _ symptom
Pancreas cancer and clinical feature _ symptom
Often can make a definite diagnosis of pancreas cancer at disease in later period. The common clinical feature has weight lightening, abdominal pain and jaundice. It is a kind of non- specific symptom that the weight is lightened, it is usually gradual advancement, begin to happen promptly before confirming pancreas cancer several months. 65%- 80% of the patients suffer from abdominal pain, often more serious to the night. It is flat to poach location and seat to make pain become more serious. Pain often smudgy, difficult to explain, this kind of situation often delayed diagnosing.
Jaundice is the third most common symptom, a lot of patients relatively appear late. Jaundice whom person who go on aggravate usually, have, present, fluctuate state naturally too. To the patient of little pancreas cancer near the total bile duct, jaundice is the only clinical manifestation. So, should assess such jaundice different to explain carefully. Often this kind of tumour is easier to excise. Jaundice and often annoying pruritus with upper arm, shank and belly, especially aggravate at the night. Pruritus relates to bile salt retention of skin. Because the relations of bile salt level and pruritus intensity are closer than level of serum bilirubin in the skin. And other statements, the bile salt has promoted the release of protease in the cells around, and the protease can cause pruritus, but not every patient's pruritus of main suit. May see pruritus and appear before jaundice on clinic happen once in a while. Though painless jaundice is still declared to the pancreas cancer patient's characterized symptom improperly, but the patient who there is this kind of behavior in fact is a kind of exception.
Non- specific physical sign with symptom, pancreas of cancer include apocleisis, up the intersection of and cholangitis, change (constipation, suffer from diarrhoea, it is bad to absorb, the bloated air of stomach, or the bloated air of intestines) that it is used to and defecating . Diabetes can be following breaking out. Because the stomach, pylorus or duodenum are encroached on directly, or the disorder of the stomach function, can erupt symptom that the stomach empty the obstacle simultaneously. Transformation thrombus phlebitis (Trousseau physical sign) usually correlated to lung cancer Also may be the early physical sign of pancreas cancer. The middle-aged person can present the melancholia, doubt disease and hysteria, it is generally acknowledged it is caused by pancreas cancer. Can see the spiritual symptom relying mainly on depressed symptom in the pancreas cancer patient too once in a while. This kind of patient with spiritual symptom is early 6 months than the appearances of physiological physical sign and symptom for more than half its spiritual symptom proportion. Just because there are a lot of non- specific and fuzzy physical sign and symptom, so the early diagnosis of pancreas cancer is very difficult, doctors must maintain sharp vigilance.
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Often can make a definite diagnosis of pancreas cancer at disease in later period. The common clinical feature has weight lightening, abdominal pain and jaundice. It is a kind of non- specific symptom that the weight is lightened, it is usually gradual advancement, begin to happen promptly before confirming pancreas cancer several months. 65%- 80% of the patients suffer from abdominal pain, often more serious to the night. It is flat to poach location and seat to make pain become more serious. Pain often smudgy, difficult to explain, this kind of situation often delayed diagnosing.
Jaundice is the third most common symptom, a lot of patients relatively appear late. Jaundice whom person who go on aggravate usually, have, present, fluctuate state naturally too. To the patient of little pancreas cancer near the total bile duct, jaundice is the only clinical manifestation. So, should assess such jaundice different to explain carefully. Often this kind of tumour is easier to excise. Jaundice and often annoying pruritus with upper arm, shank and belly, especially aggravate at the night. Pruritus relates to bile salt retention of skin. Because the relations of bile salt level and pruritus intensity are closer than level of serum bilirubin in the skin. And other statements, the bile salt has promoted the release of protease in the cells around, and the protease can cause pruritus, but not every patient's pruritus of main suit. May see pruritus and appear before jaundice on clinic happen once in a while. Though painless jaundice is still declared to the pancreas cancer patient's characterized symptom improperly, but the patient who there is this kind of behavior in fact is a kind of exception.
Non- specific physical sign with symptom, pancreas of cancer include apocleisis, up the intersection of and cholangitis, change (constipation, suffer from diarrhoea, it is bad to absorb, the bloated air of stomach, or the bloated air of intestines) that it is used to and defecating . Diabetes can be following breaking out. Because the stomach, pylorus or duodenum are encroached on directly, or the disorder of the stomach function, can erupt symptom that the stomach empty the obstacle simultaneously. Transformation thrombus phlebitis (Trousseau physical sign) usually correlated to lung cancer Also may be the early physical sign of pancreas cancer. The middle-aged person can present the melancholia, doubt disease and hysteria, it is generally acknowledged it is caused by pancreas cancer. Can see the spiritual symptom relying mainly on depressed symptom in the pancreas cancer patient too once in a while. This kind of patient with spiritual symptom is early 6 months than the appearances of physiological physical sign and symptom for more than half its spiritual symptom proportion. Just because there are a lot of non- specific and fuzzy physical sign and symptom, so the early diagnosis of pancreas cancer is very difficult, doctors must maintain sharp vigilance.
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Tuesday, January 29, 2013
Many _'s general knowledge of attentive matters of pancreatitic diet
Many _'s general knowledge of attentive matters of pancreatitic diet
Period of basically fully recovering diet: This diet contains protein and a small amount of fat ' About 30g) ,The main food is as follows, dragon must piece, steamed roll, it is little steamed stuffed bun, congee, lotus root starch, minced meat, the end dish,etc., 4 meal every day.
Acute issues of diet: This should prohibit to eat, fasting can make the pancreas avoid food and gastric acid to stimulate, make the pancreas secrete and reduce to the minimum limit, in order to lighten the pancreas burden. This issue need, give patient the intersection of vein and supplementary enough liquid and electrolyte since. This general patient 2- 3d, the serious one 5- 7d of condition.
The diet in initial stage of recovering: Fatty and protein in this diet, the main food is thin rice gruel, lotus root starch, fruit juice, 6 meal of every day, about 100ml each time, heat is about 1423 every day. 512kJ is use for the condition and try on meal stage in initial stage of taking a favorable turn, this still takes to give patients the supplementary enough liquid and electrolyte, generally 5- 7d is using this kind of diet after being ill.
Middle period of recovery diet: Include a few proteins in this diet, but not fatty, the main food must lotus root starch, dragon one and fruit juice and a few clear eggs, 6 meal every day, about 200ml each time, heat is about 2177 every day. 136kJ, this can give patients a small amount of supplementary liquid and electrolyte, 8- 10d after illness uses this kind of diet generally.
The anaphase diet of recovery: Contain protein and a small amount of fat very much in this diet, main food must have lotus root starch, dragon piece and congee, the intersection of beans and soup, the end such as dish, egg clear with a small amount of vegetable oil ' 5- 10g/d) Wait, 5 meal every day, about 400ml each time, the total amount of heat is about 4186. 8kJ, about 15d generally after ill.
Period of basically fully recovering diet: This diet contains protein and a small amount of fat ' About 30g) ,The main food is as follows, dragon must piece, steamed roll, it is little for steamed stuffed bun, congee, lotus root starch, minced meat, the end dish,etc., 4 meal every day.
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Period of basically fully recovering diet: This diet contains protein and a small amount of fat ' About 30g) ,The main food is as follows, dragon must piece, steamed roll, it is little steamed stuffed bun, congee, lotus root starch, minced meat, the end dish,etc., 4 meal every day.
Acute issues of diet: This should prohibit to eat, fasting can make the pancreas avoid food and gastric acid to stimulate, make the pancreas secrete and reduce to the minimum limit, in order to lighten the pancreas burden. This issue need, give patient the intersection of vein and supplementary enough liquid and electrolyte since. This general patient 2- 3d, the serious one 5- 7d of condition.
The diet in initial stage of recovering: Fatty and protein in this diet, the main food is thin rice gruel, lotus root starch, fruit juice, 6 meal of every day, about 100ml each time, heat is about 1423 every day. 512kJ is use for the condition and try on meal stage in initial stage of taking a favorable turn, this still takes to give patients the supplementary enough liquid and electrolyte, generally 5- 7d is using this kind of diet after being ill.
Middle period of recovery diet: Include a few proteins in this diet, but not fatty, the main food must lotus root starch, dragon one and fruit juice and a few clear eggs, 6 meal every day, about 200ml each time, heat is about 2177 every day. 136kJ, this can give patients a small amount of supplementary liquid and electrolyte, 8- 10d after illness uses this kind of diet generally.
The anaphase diet of recovery: Contain protein and a small amount of fat very much in this diet, main food must have lotus root starch, dragon piece and congee, the intersection of beans and soup, the end such as dish, egg clear with a small amount of vegetable oil ' 5- 10g/d) Wait, 5 meal every day, about 400ml each time, the total amount of heat is about 4186. 8kJ, about 15d generally after ill.
Period of basically fully recovering diet: This diet contains protein and a small amount of fat ' About 30g) ,The main food is as follows, dragon must piece, steamed roll, it is little for steamed stuffed bun, congee, lotus root starch, minced meat, the end dish,etc., 4 meal every day.
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Pancreas cancer --Gland cancer _ general knowledge of the bag
Pancreas cancer --Gland cancer _ general knowledge of the bag
One rare the intersection of pancreas and tumour, become and take place by one the intersection of mucus and the intersection of bag and the intersection of adenoma and malignant the intersection of regression and, it upper abdomen pain the it one behavior and it can lay one's hand on and belly bag piece.
Pancreas supersound or CT scan, can reveal one cyst make in piece containing several piece. These two kinds of scanning may be interpreted as necrosis and gonad cancer or pancreas cyst wrongly. Compared with tubular gland cancer, the prognosis of gland cancer of the bag is relatively better. Only find 20% of the patients shift during operation; Implement, carry far or all pancreas excise skill or the intersection of Whipple and surgery, carry on the complete excision of tumour, can make 65% of the patients survive for 5 years.
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One rare the intersection of pancreas and tumour, become and take place by one the intersection of mucus and the intersection of bag and the intersection of adenoma and malignant the intersection of regression and, it upper abdomen pain the it one behavior and it can lay one's hand on and belly bag piece.
Pancreas supersound or CT scan, can reveal one cyst make in piece containing several piece. These two kinds of scanning may be interpreted as necrosis and gonad cancer or pancreas cyst wrongly. Compared with tubular gland cancer, the prognosis of gland cancer of the bag is relatively better. Only find 20% of the patients shift during operation; Implement, carry far or all pancreas excise skill or the intersection of Whipple and surgery, carry on the complete excision of tumour, can make 65% of the patients survive for 5 years.
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's general knowledge for example of medicine of the easing pain of pancreatitis
's general knowledge for example of medicine of the easing pain of pancreatitis
Commonly used analgesic is as follows, atropine, 654-2, generally once every 4- 6 hour, intramuscular injection. This kind of medicine not only can solve convulsion and stop the pain inhibit the pancreas from secreting, but also can. If having sharp pain can use Pethidine 50 1100 skin note, or use 2% of the slow intravenous bits of lidocaine, generally 24 hours are less than l00 ml.Pain of pancreatitis is mainly shown as and suffered from abdominal pain, its incidence about 95% one l00% that suffers from abdominal pain. Can cause shock because of pain, and can make the pancreas secrete and increase and dispel pain effectively in time, treat the important measure that pancreatitis can't be ignored.
Suffer from abdominal pain emergence mainly because: Pancreas edema and inflammation, necrosis product cause the pancreas to wrap up the membrane to pull, spread. Inflammation stimulates abdominal cavity's neural clump. The pancreas secretes liquid and necrosis and inflammation and oozes out things and overflows to behind the peritoneum, form chemical peritonitis. The intersection of pancreas and the intersection of bile duct and congestion, edema, convulsion, pancreatic duct obstruct, swell etc.. View from the point of suffering from abdominal pain on the intensity, simple edema type pancreas adenitis is a general abdominal pain; Necrosis type pancreatitis of bleeding often cuts a kind of pain for sharp pain, angina, pressing or, violent because of pain, can make the patient enter the shock state in short time, thus give and treat and increase the difficulty. So should stop the pain actively and effectively while treating and having illness coming on originally.
Commonly used analgesic is as follows, atropine, 654-2, generally once every 4- 6 hour, intramuscular injection. This kind of medicine not only can solve convulsion and stop the pain inhibit the pancreas from secreting, but also can. If having sharp pain can use Pethidine 50 1100 skin note, or use 2% of the slow intravenous bits of lidocaine, generally 24 hours are less than l00 ml. Morphine can make Di's sphincter shrink, it is used so should be careful, if must use, can share with atropine, in order to overcome Di and draw together the side effect which invites myospasm. In addition include and melt under a pair of hydrogen M99 tablet something shaped like a tongue, the result is better. The daily dosage is a pair of hydrogen M991/4- 1/2 slices, include the clothes under the tongue.
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Commonly used analgesic is as follows, atropine, 654-2, generally once every 4- 6 hour, intramuscular injection. This kind of medicine not only can solve convulsion and stop the pain inhibit the pancreas from secreting, but also can. If having sharp pain can use Pethidine 50 1100 skin note, or use 2% of the slow intravenous bits of lidocaine, generally 24 hours are less than l00 ml.Pain of pancreatitis is mainly shown as and suffered from abdominal pain, its incidence about 95% one l00% that suffers from abdominal pain. Can cause shock because of pain, and can make the pancreas secrete and increase and dispel pain effectively in time, treat the important measure that pancreatitis can't be ignored.
Suffer from abdominal pain emergence mainly because: Pancreas edema and inflammation, necrosis product cause the pancreas to wrap up the membrane to pull, spread. Inflammation stimulates abdominal cavity's neural clump. The pancreas secretes liquid and necrosis and inflammation and oozes out things and overflows to behind the peritoneum, form chemical peritonitis. The intersection of pancreas and the intersection of bile duct and congestion, edema, convulsion, pancreatic duct obstruct, swell etc.. View from the point of suffering from abdominal pain on the intensity, simple edema type pancreas adenitis is a general abdominal pain; Necrosis type pancreatitis of bleeding often cuts a kind of pain for sharp pain, angina, pressing or, violent because of pain, can make the patient enter the shock state in short time, thus give and treat and increase the difficulty. So should stop the pain actively and effectively while treating and having illness coming on originally.
Commonly used analgesic is as follows, atropine, 654-2, generally once every 4- 6 hour, intramuscular injection. This kind of medicine not only can solve convulsion and stop the pain inhibit the pancreas from secreting, but also can. If having sharp pain can use Pethidine 50 1100 skin note, or use 2% of the slow intravenous bits of lidocaine, generally 24 hours are less than l00 ml. Morphine can make Di's sphincter shrink, it is used so should be careful, if must use, can share with atropine, in order to overcome Di and draw together the side effect which invites myospasm. In addition include and melt under a pair of hydrogen M99 tablet something shaped like a tongue, the result is better. The daily dosage is a pair of hydrogen M991/4- 1/2 slices, include the clothes under the tongue.
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's general knowledge of putting prevention first of pancreatitis
's general knowledge of putting prevention first of pancreatitis
Pancreatitis is acute while breaking out, should see the emergency call at once. Advice according to the doctors, should all generally prohibit to eat, don't eat. After the condition is controlled, resume diet progressively. Generally begin to eat some thin rice gruel, jardiniere soup and some fruit juices, lotus root starch without oil,etc. first. After eating, there is no problem to happen, eat some more porridge, bean curd, mud of dish without oil.
Pancreatitis focuses on prevention. Pancreatitis can be prevented too. No matter first time's acute outbreak, or the acute outbreak of chronic pancreatitis, can prevent. The key link prevented lies in paying attention to the diet. Can't get drunk, it takes right amount of to drink. Can't be too full, can't eat too greasily, especially should pay attention to even more in the evening. The person who has had chronic pancreatitis already, certainly let alone like this. Moreover, should have more meals a day but less food at each even at ordinary times. Eat for 4-6 times every day, quantity of every meal is reduced, it is greasy to give up, give up smoking and drinking.
Pancreatitis is acute while breaking out, should see the emergency call at once. Advice according to the doctors, should all generally prohibit to eat, don't eat. After the condition is controlled, resume diet progressively. Generally begin to eat some thin rice gruel, jardiniere soup and some fruit juices, lotus root starch without oil,etc. first. After eating, there is no problem to happen, eat some more porridge, bean curd, mud of dish without oil.
Usually acute after breaking out, always have two weeks to forbid eating the greasy food until one month, the quantity of protein should be controlled to some extent too, can't be too much, for example eat an egg at most each day, also remove egg yolk. Then, and then resume normal diet progressively. Even resume normal diet, should be in order to eat the food of the low lipoprotein as the main fact, such as soyfood, fish, shrimp, egg and some red meat. You had better give up smoking all the life and wine, prevent, break out once again. Have chronic pancreatitis and people of cholecystitis take, so, avoid animal oil, avoid fried food too originally. To the patient with biliary tract disease, should make biliary tract operation, pancreatitis that could prevent biliary tract disease from causing in this way as soon as possible.
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Pancreatitis is acute while breaking out, should see the emergency call at once. Advice according to the doctors, should all generally prohibit to eat, don't eat. After the condition is controlled, resume diet progressively. Generally begin to eat some thin rice gruel, jardiniere soup and some fruit juices, lotus root starch without oil,etc. first. After eating, there is no problem to happen, eat some more porridge, bean curd, mud of dish without oil.
Pancreatitis focuses on prevention. Pancreatitis can be prevented too. No matter first time's acute outbreak, or the acute outbreak of chronic pancreatitis, can prevent. The key link prevented lies in paying attention to the diet. Can't get drunk, it takes right amount of to drink. Can't be too full, can't eat too greasily, especially should pay attention to even more in the evening. The person who has had chronic pancreatitis already, certainly let alone like this. Moreover, should have more meals a day but less food at each even at ordinary times. Eat for 4-6 times every day, quantity of every meal is reduced, it is greasy to give up, give up smoking and drinking.
Pancreatitis is acute while breaking out, should see the emergency call at once. Advice according to the doctors, should all generally prohibit to eat, don't eat. After the condition is controlled, resume diet progressively. Generally begin to eat some thin rice gruel, jardiniere soup and some fruit juices, lotus root starch without oil,etc. first. After eating, there is no problem to happen, eat some more porridge, bean curd, mud of dish without oil.
Usually acute after breaking out, always have two weeks to forbid eating the greasy food until one month, the quantity of protein should be controlled to some extent too, can't be too much, for example eat an egg at most each day, also remove egg yolk. Then, and then resume normal diet progressively. Even resume normal diet, should be in order to eat the food of the low lipoprotein as the main fact, such as soyfood, fish, shrimp, egg and some red meat. You had better give up smoking all the life and wine, prevent, break out once again. Have chronic pancreatitis and people of cholecystitis take, so, avoid animal oil, avoid fried food too originally. To the patient with biliary tract disease, should make biliary tract operation, pancreatitis that could prevent biliary tract disease from causing in this way as soon as possible.
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Pancreas cancer --Tumour _ general knowledge of the endocrine
Pancreas cancer --Tumour _ general knowledge of the endocrine
Langerhans' islits cell tumour has two kinds of whole body nature manifestation. Only if functional tumour may cause the bleeding that obstructing symptom or flow direction of the biliary tract or duodenum is gastrointestinal, or the belly wraps up the piece. The excessive secretion of particular hormone caused by functional tumour may produce various syndrome, including: Hypoglycemia (insulinogenic tumour excessively secretes insulin) ; Zollinger-Ellison syndrome (gastrin tumour excessively secretes gastrin) ; VIP tumour (active intestines peptide or prostaglandin E and E2 of blood vessel Excessively secretion due to) ; Kind of cancer syndrome (are cause by one kind of cancer tumours ---See section 17) ; Diabetes (pancreas glucagon tumour excessively secretes the glucagon of pancreas) With the happy syndrome (ACTH excessively secretes) of the storehouse ; Intermediate hyperglycemia and calculus with the biliary tract (grow colyone tumour) . These clinical syndrome also can be seen at many kinds of endocrine tumours (see section 10) sometimes ,Among them, tumour or increasing the living beings to involve 2 or more endocrine glands, it is usually the gland by first form, the hypophysis, thyroid gland or renal gland.
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Langerhans' islits cell tumour has two kinds of whole body nature manifestation. Only if functional tumour may cause the bleeding that obstructing symptom or flow direction of the biliary tract or duodenum is gastrointestinal, or the belly wraps up the piece. The excessive secretion of particular hormone caused by functional tumour may produce various syndrome, including: Hypoglycemia (insulinogenic tumour excessively secretes insulin) ; Zollinger-Ellison syndrome (gastrin tumour excessively secretes gastrin) ; VIP tumour (active intestines peptide or prostaglandin E and E2 of blood vessel Excessively secretion due to) ; Kind of cancer syndrome (are cause by one kind of cancer tumours ---See section 17) ; Diabetes (pancreas glucagon tumour excessively secretes the glucagon of pancreas) With the happy syndrome (ACTH excessively secretes) of the storehouse ; Intermediate hyperglycemia and calculus with the biliary tract (grow colyone tumour) . These clinical syndrome also can be seen at many kinds of endocrine tumours (see section 10) sometimes ,Among them, tumour or increasing the living beings to involve 2 or more endocrine glands, it is usually the gland by first form, the hypophysis, thyroid gland or renal gland.
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What medicine _'s treatments does the treating to ease pain of pancreatitis have
What medicine _'s treatments does the treating to ease pain of pancreatitis have
Pain of pancreatitis is mainly shown as and suffered from abdominal pain, its incidence about 95% one l00% that suffers from abdominal pain. Can cause shock because of pain, and can make the pancreas secrete and increase and dispel pain effectively in time, treat the important measure that pancreatitis can't be ignored. Suffer from abdominal pain emergence mainly because: Pancreas edema and inflammation, necrosis product cause the pancreas to wrap up the membrane to pull, spread. Inflammation stimulates abdominal cavity's neural clump. The pancreas secretes liquid and necrosis and inflammation and oozes out things and overflows to behind the peritoneum, form chemical peritonitis. The intersection of pancreas and the intersection of bile duct and congestion, edema, convulsion, pancreatic duct obstruct, swell etc.. View from the point of suffering from abdominal pain on the intensity, simple edema type pancreas adenitis is a general abdominal pain; Necrosis type pancreatitis of bleeding often cuts a kind of pain for sharp pain, angina, pressing or, violent because of pain, can make the patient enter the shock state in short time, thus give and treat and increase the difficulty. So should stop the pain actively and effectively while treating and having illness coming on originally. Commonly used analgesic is as follows, atropine, 654-2, generally once every 4- 6 hour, intramuscular injection. This kind of medicine not only can solve convulsion and stop the pain inhibit the pancreas from secreting, but also can. If having sharp pain can use Pethidine 50 1100 skin note, or use 2% of the slow intravenous bits of lidocaine, generally 24 hours are less than l00 ml. Morphine can make Di's sphincter shrink, it is used so should be careful, if must use, can share with atropine, in order to overcome Di and draw together the side effect which invites myospasm. In addition include and melt under a pair of hydrogen M99 tablet something shaped like a tongue, the result is better. The daily dosage is a pair of hydrogen M991/4- 1/2 slices, include the clothes under the tongue. Pancreas moxibustion
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Pain of pancreatitis is mainly shown as and suffered from abdominal pain, its incidence about 95% one l00% that suffers from abdominal pain. Can cause shock because of pain, and can make the pancreas secrete and increase and dispel pain effectively in time, treat the important measure that pancreatitis can't be ignored. Suffer from abdominal pain emergence mainly because: Pancreas edema and inflammation, necrosis product cause the pancreas to wrap up the membrane to pull, spread. Inflammation stimulates abdominal cavity's neural clump. The pancreas secretes liquid and necrosis and inflammation and oozes out things and overflows to behind the peritoneum, form chemical peritonitis. The intersection of pancreas and the intersection of bile duct and congestion, edema, convulsion, pancreatic duct obstruct, swell etc.. View from the point of suffering from abdominal pain on the intensity, simple edema type pancreas adenitis is a general abdominal pain; Necrosis type pancreatitis of bleeding often cuts a kind of pain for sharp pain, angina, pressing or, violent because of pain, can make the patient enter the shock state in short time, thus give and treat and increase the difficulty. So should stop the pain actively and effectively while treating and having illness coming on originally. Commonly used analgesic is as follows, atropine, 654-2, generally once every 4- 6 hour, intramuscular injection. This kind of medicine not only can solve convulsion and stop the pain inhibit the pancreas from secreting, but also can. If having sharp pain can use Pethidine 50 1100 skin note, or use 2% of the slow intravenous bits of lidocaine, generally 24 hours are less than l00 ml. Morphine can make Di's sphincter shrink, it is used so should be careful, if must use, can share with atropine, in order to overcome Di and draw together the side effect which invites myospasm. In addition include and melt under a pair of hydrogen M99 tablet something shaped like a tongue, the result is better. The daily dosage is a pair of hydrogen M991/4- 1/2 slices, include the clothes under the tongue. Pancreas moxibustion
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Pancreas cancer Trouble _ prevention and health care of eating and drinking immoderately and getting into
Pancreas cancer Trouble _ prevention and health care of eating and drinking immoderately and getting into
Because constant rising of temperature, in scorching Xia Ri, it is very easy for people not to will appear the intersection of whole body and weak, lose the appetite, apt sweat, symptom such as being drowsy. So, a rational eating habit will be very helpful in this hot summer for relieving the above-mentioned symptom. Life wife and children have grouped into and especially collected the diet healthcare knowledge suitable for this summer you, next to the skin for you to customize the healthy diet in summer!
Burn famous the intersection of actor and Shen hall rosy clouds pass away, died at the age of 60 year old, obviously left too early. She was found and suffered from pancreas cancer 3 years ago, thereafter accepted the tumour excision. The intersection of pancreas and cancer, one sound still strange noun slightly before 20 year, break doctor and concern degree of patient constantly with high mortality and low survival period of it nowadays.
In our country, pancreas cancer is one of ten major malignant tumour which causes the population death, known as " King in cancer " . The latest survey report reveals, the morbidity of this disease has increased about 4 times in the past 20 years of China economy several most developed main cities, area that becomes pancreas cancer of our country with highest morbidity.
Pancreas " living in seclusion " Behind the peritoneum, although stature is small, have a great responsibility
There are one small showy organ very in the depths of upper abdomen of our body, it is the pancreas. Although pancreas is small, it is one of the most important organs in the human body, it is all closely linked with life that its physiological function and pathology are changed. Pancreas " living in seclusion " Behind the peritoneum, popularity is not so good as its near neighbour's stomach, duodenum, liver, gallbladder far, but several kinds of digestive ferment in the pancreatic juice that the pancreas secretes are arising while the food digests " Protagonist " Act on,especially correctly digestion of fat.
The pancreas contains the endocrine cells of many kinds of functions, secrete the high candy plain, insulin, gastrin, stomach are moved and usually waited a moment. These cells secrete hormone except participating in digesting and assimilating the material, is responsible for regulating the physiological function of whole body. If these cell pathological changes, the material surplus or deficiency secreted, will present the disease. Pancreas cancer can take place on the head, body, tail of the pancreas or involve the whole pancreas, but the most with pancreas heads, account for 60%~70% of pancreas cancer.
It may be many kinds of diseases that the upper abdomen pains, need looking out, don't misdiagnose and manage by mistake
There is no typical clinical manifestation in early days in pancreas cancer, diseases needing distinguishing are a lot of that the upper abdomen pains, so incident misdiagnose and manage by mistake, the misdiagnosing rate often misdiagnoses it as cholecystitis in 35.5% to 87.5%. Intestines and stomach disease. Hepatitis. Pancreatitis,etc., the later period in 80% of the patients have already belonged to while making a definite diagnosis of. So, only find the clues of pancreas cancer as soon as possible, could get the effective treatment in time, save patient's life.
Is that pancreas cancer firsts publish symptom to have abdominal pain or the upper abdomen is glutted and uncomfortable. Because patient Chang Xian goes to internal medicine department or other departments to make a diagnosis and give treatment, when most patients come to surgery to go to a doctor, later period in the condition belonged to. If present unidentified reason abdominal pain, jaundice, upper abdomen discomfort, digest the discomfort, become thin, be disgusting, vomit, suffer from diarrhoea, or come down with diabetes,etc., the patient should consider that suffer from the possibility of pancreas cancer. Greater than 40 years to age, there is family's history of pancreas cancer, suffer from chronic pancreatitis, especially the patients of chronic family pancreatitis and chronic calcification pancreas should strengthen and monitor even more.
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Because constant rising of temperature, in scorching Xia Ri, it is very easy for people not to will appear the intersection of whole body and weak, lose the appetite, apt sweat, symptom such as being drowsy. So, a rational eating habit will be very helpful in this hot summer for relieving the above-mentioned symptom. Life wife and children have grouped into and especially collected the diet healthcare knowledge suitable for this summer you, next to the skin for you to customize the healthy diet in summer!
Burn famous the intersection of actor and Shen hall rosy clouds pass away, died at the age of 60 year old, obviously left too early. She was found and suffered from pancreas cancer 3 years ago, thereafter accepted the tumour excision. The intersection of pancreas and cancer, one sound still strange noun slightly before 20 year, break doctor and concern degree of patient constantly with high mortality and low survival period of it nowadays.
In our country, pancreas cancer is one of ten major malignant tumour which causes the population death, known as " King in cancer " . The latest survey report reveals, the morbidity of this disease has increased about 4 times in the past 20 years of China economy several most developed main cities, area that becomes pancreas cancer of our country with highest morbidity.
Pancreas " living in seclusion " Behind the peritoneum, although stature is small, have a great responsibility
There are one small showy organ very in the depths of upper abdomen of our body, it is the pancreas. Although pancreas is small, it is one of the most important organs in the human body, it is all closely linked with life that its physiological function and pathology are changed. Pancreas " living in seclusion " Behind the peritoneum, popularity is not so good as its near neighbour's stomach, duodenum, liver, gallbladder far, but several kinds of digestive ferment in the pancreatic juice that the pancreas secretes are arising while the food digests " Protagonist " Act on,especially correctly digestion of fat.
The pancreas contains the endocrine cells of many kinds of functions, secrete the high candy plain, insulin, gastrin, stomach are moved and usually waited a moment. These cells secrete hormone except participating in digesting and assimilating the material, is responsible for regulating the physiological function of whole body. If these cell pathological changes, the material surplus or deficiency secreted, will present the disease. Pancreas cancer can take place on the head, body, tail of the pancreas or involve the whole pancreas, but the most with pancreas heads, account for 60%~70% of pancreas cancer.
It may be many kinds of diseases that the upper abdomen pains, need looking out, don't misdiagnose and manage by mistake
There is no typical clinical manifestation in early days in pancreas cancer, diseases needing distinguishing are a lot of that the upper abdomen pains, so incident misdiagnose and manage by mistake, the misdiagnosing rate often misdiagnoses it as cholecystitis in 35.5% to 87.5%. Intestines and stomach disease. Hepatitis. Pancreatitis,etc., the later period in 80% of the patients have already belonged to while making a definite diagnosis of. So, only find the clues of pancreas cancer as soon as possible, could get the effective treatment in time, save patient's life.
Is that pancreas cancer firsts publish symptom to have abdominal pain or the upper abdomen is glutted and uncomfortable. Because patient Chang Xian goes to internal medicine department or other departments to make a diagnosis and give treatment, when most patients come to surgery to go to a doctor, later period in the condition belonged to. If present unidentified reason abdominal pain, jaundice, upper abdomen discomfort, digest the discomfort, become thin, be disgusting, vomit, suffer from diarrhoea, or come down with diabetes,etc., the patient should consider that suffer from the possibility of pancreas cancer. Greater than 40 years to age, there is family's history of pancreas cancer, suffer from chronic pancreatitis, especially the patients of chronic family pancreatitis and chronic calcification pancreas should strengthen and monitor even more.
[1] [2]Make page one
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's prevention and health care of personal discussion about experience of pancreatitic diet
's prevention and health care of personal discussion about experience of pancreatitic diet
Up till now, the medical condition has had obvious improvement, in patient fasting period, doctor will according to situation of patient,last nutrition according to the circumstances,only though take patient, but so long as there is infusion, the patient will not be extremely hungry.Pancreatitis is a internal medicine acute abdomen, it is one that has stepped department's disease up till now, the so-called one means gi medicine and department of general surgery across the department. Generally speaking, light diseases are mostly easy to solve, but once the serious disease or patient who has complication, it is very difficult on treating, and mortality is extremely high, and can not often get patient relatives' understanding, it is still a thorny problem now.
But in any case, deal with it or full of ideas, because main pancreatitis one is the tryptic starting, cause the activation of relevant other enzymes, the digestion organizing by oneself, the serious disease patient often appears all over inflammation reflects syndrome. So one of the therapeutic foundations, it is that one of the very important conditions is the fasting. Can't eat! This can't eat, the patient is apt to accept, but day is long the beginning in the treatment, the patient cries.
Up till now, the medical condition has had obvious improvement, in patient fasting period, will according to situation of patient, last nutrition doctor according to the circumstances,only though take patient, but so long as there is infusion, the patient will not be extremely hungry.
Have when can wipe out, none of very normal methods too, my own experience is, patient's symptom takes a favorable turn, even if some zymologic indexes are abnormal, the patient can begin from drinking the soup of congee, begin 100- 200ml each time, patient have can offer again while being uncomfortable after the 3- 4 hour, patient eat what be uncomfortable to can take congee second day first day, unless without uncomfortable, there are be ordinary for diet on the thirdth, you had better not lipoprotein diets high.
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Up till now, the medical condition has had obvious improvement, in patient fasting period, doctor will according to situation of patient,last nutrition according to the circumstances,only though take patient, but so long as there is infusion, the patient will not be extremely hungry.Pancreatitis is a internal medicine acute abdomen, it is one that has stepped department's disease up till now, the so-called one means gi medicine and department of general surgery across the department. Generally speaking, light diseases are mostly easy to solve, but once the serious disease or patient who has complication, it is very difficult on treating, and mortality is extremely high, and can not often get patient relatives' understanding, it is still a thorny problem now.
But in any case, deal with it or full of ideas, because main pancreatitis one is the tryptic starting, cause the activation of relevant other enzymes, the digestion organizing by oneself, the serious disease patient often appears all over inflammation reflects syndrome. So one of the therapeutic foundations, it is that one of the very important conditions is the fasting. Can't eat! This can't eat, the patient is apt to accept, but day is long the beginning in the treatment, the patient cries.
Up till now, the medical condition has had obvious improvement, in patient fasting period, will according to situation of patient, last nutrition doctor according to the circumstances,only though take patient, but so long as there is infusion, the patient will not be extremely hungry.
Have when can wipe out, none of very normal methods too, my own experience is, patient's symptom takes a favorable turn, even if some zymologic indexes are abnormal, the patient can begin from drinking the soup of congee, begin 100- 200ml each time, patient have can offer again while being uncomfortable after the 3- 4 hour, patient eat what be uncomfortable to can take congee second day first day, unless without uncomfortable, there are be ordinary for diet on the thirdth, you had better not lipoprotein diets high.
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Monday, January 28, 2013
Postoperative pancreatitis attends to many _'s general knowledge of attentive matters
Postoperative pancreatitis attends to many _'s general knowledge of attentive matters
Don't go to the fields too early and move about. The patient after the pancreas operation needs the staying in bed of longer period, especially the old and patient whose function fails of blood vessel of heart brain, can the cerebrovascular break-up of heart take place because of change of body posture to them, cause the unexpected death.1. Should not allocate the intestines and stomach to reduce pressure to manage too early. The intestines and stomach reduce pressure and manage " The help is in charge of " ,Essential thing. Insert intestines and stomach reduce pressure purpose of tube: First, take patient's secretion in the stomach out, second, reduce the stomach content thing to stimulate the pancreatic juice to divide the liquid, reduce the intersection of pancreas and chance that enteric identical mouth leak.
2. Don't take food and drink the water too early. Should depend on the patient's situation in inserting stomach tube and fasting, prohibiting size of time of water.
3. Don't go to the fields too early and move about. The patient after the pancreas operation needs the staying in bed of longer period, especially the old and patient whose function fails of blood vessel of heart brain, can the cerebrovascular break-up of heart take place because of change of body posture to them, cause the unexpected death.
4. Pay attention to and eat the kind. Generally speaking, should advanced boiled water, thin rice gruel, thin porridge liquid, increase the taking food amount slowly behind being all without exception right as patient, avoid eating sweet food and greasy diet, make sure not to eat and drink immoderately and drink.
The patient should pay attention to making the situation besides wanting the appropriate rest and avoiding suffering from cold after leaving hospital:
1,If shown as the patient of diabetes because the pancreas endocrine function is insufficient, should follow the doctor's advice and take and lower the candy medicine; Do persons who are cut all of pancreas, need to inject insulin all the life. Monitor blood glucose and urine candy regularly. In addition, will control the intaking amount of the staple food strictly, will not eat or eat few fruits containing high percentage of candy, eat more vegetables; Pay attention to doing exercises etc. appropriately.
2,The patient with exocrinosity of pancreas with insufficient function, should stop drinking and give up smoking, don't eat and drink immoderately, eat little fat, eat more protein, carbohydrate and vegetables fruit, have more meals a day but less food at each. Add and use various pancreas enzymic preparations if necessary.
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Don't go to the fields too early and move about. The patient after the pancreas operation needs the staying in bed of longer period, especially the old and patient whose function fails of blood vessel of heart brain, can the cerebrovascular break-up of heart take place because of change of body posture to them, cause the unexpected death.1. Should not allocate the intestines and stomach to reduce pressure to manage too early. The intestines and stomach reduce pressure and manage " The help is in charge of " ,Essential thing. Insert intestines and stomach reduce pressure purpose of tube: First, take patient's secretion in the stomach out, second, reduce the stomach content thing to stimulate the pancreatic juice to divide the liquid, reduce the intersection of pancreas and chance that enteric identical mouth leak.
2. Don't take food and drink the water too early. Should depend on the patient's situation in inserting stomach tube and fasting, prohibiting size of time of water.
3. Don't go to the fields too early and move about. The patient after the pancreas operation needs the staying in bed of longer period, especially the old and patient whose function fails of blood vessel of heart brain, can the cerebrovascular break-up of heart take place because of change of body posture to them, cause the unexpected death.
4. Pay attention to and eat the kind. Generally speaking, should advanced boiled water, thin rice gruel, thin porridge liquid, increase the taking food amount slowly behind being all without exception right as patient, avoid eating sweet food and greasy diet, make sure not to eat and drink immoderately and drink.
The patient should pay attention to making the situation besides wanting the appropriate rest and avoiding suffering from cold after leaving hospital:
1,If shown as the patient of diabetes because the pancreas endocrine function is insufficient, should follow the doctor's advice and take and lower the candy medicine; Do persons who are cut all of pancreas, need to inject insulin all the life. Monitor blood glucose and urine candy regularly. In addition, will control the intaking amount of the staple food strictly, will not eat or eat few fruits containing high percentage of candy, eat more vegetables; Pay attention to doing exercises etc. appropriately.
2,The patient with exocrinosity of pancreas with insufficient function, should stop drinking and give up smoking, don't eat and drink immoderately, eat little fat, eat more protein, carbohydrate and vegetables fruit, have more meals a day but less food at each. Add and use various pancreas enzymic preparations if necessary.
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Why at the time of pancreatitic treatment use first cyanogen miaow guanidine _'s general knowledge
Why at the time of pancreatitic treatment use first cyanogen miaow guanidine _'s general knowledge
Because the acid gastric juice stimulates the pancreas to secrete the important material of the pancreatic juice, so, reducing the secretion of the gastric acid just equals and reduces the secretion of pancreatic juice. It verifies, first cyanogen miaow guanidine has strong inhibiting the function that the gastric acid secretes to study by clinical pharmacology, so can play and inhibit the function that the pancreas secretes indirectly.A large number of physiological experiment and clinical observation indicate, the gastric acid stimulates the pancreas to secrete one of the main factors of the pancreatic juice. It is entered every day year in year out that normal to secrete about 1000- 1500 ml of pancreatic juice, among them secrete to about 2000 one 8000 milligram every day of trypsin in the small intestine. Pigeonhole, increase in duodenum, when the intersection of pot and belly cause with calculus, tumour, inflammation narrowly, obstruct, cause and arrange the obstacle outside the pancreatic juice, the pressure of pancreatic duct rises, while produce pancreas enzyme activated and cause pancreas to digest, damage of heavier pancreas. If the pancreas is secreted vigorously, can make the condition aggravate day by day, some can develop from simple edema type pancreatitis into the necrosis type serious disease and pancreatitis of bleeding, and can cause the damage of much internal organs such as the heart, liver, brain, kidney,etc.. The therapeutic principle at this moment is to inhibit the secretion of pancreas, lighten load and damage that the pancreas organizes.
Because the acid gastric juice stimulates the pancreas to secrete the important material of the pancreatic juice, so, reducing the secretion of the gastric acid just equals and reduces the secretion of pancreatic juice. It verifies, first cyanogen miaow guanidine has strong inhibiting the function that the gastric acid secretes to study by clinical pharmacology, so can play and inhibit the function that the pancreas secretes indirectly. What merits attention is that has reported recently first cyanogen miaow guanidine can inhibit the function that pancreas cells secrete the pancreatic juice directly, have applied to the treatment of the acute pancreatitis and already made the good result. This medicine is generally taken 0 orally. 2 grams, 4 times a day, it is dripped that the persons who can't take orally can be quiet in the liquid, 400 milligrams, 2-3 times a day. Function is fast, the result is reliable.
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Because the acid gastric juice stimulates the pancreas to secrete the important material of the pancreatic juice, so, reducing the secretion of the gastric acid just equals and reduces the secretion of pancreatic juice. It verifies, first cyanogen miaow guanidine has strong inhibiting the function that the gastric acid secretes to study by clinical pharmacology, so can play and inhibit the function that the pancreas secretes indirectly.A large number of physiological experiment and clinical observation indicate, the gastric acid stimulates the pancreas to secrete one of the main factors of the pancreatic juice. It is entered every day year in year out that normal to secrete about 1000- 1500 ml of pancreatic juice, among them secrete to about 2000 one 8000 milligram every day of trypsin in the small intestine. Pigeonhole, increase in duodenum, when the intersection of pot and belly cause with calculus, tumour, inflammation narrowly, obstruct, cause and arrange the obstacle outside the pancreatic juice, the pressure of pancreatic duct rises, while produce pancreas enzyme activated and cause pancreas to digest, damage of heavier pancreas. If the pancreas is secreted vigorously, can make the condition aggravate day by day, some can develop from simple edema type pancreatitis into the necrosis type serious disease and pancreatitis of bleeding, and can cause the damage of much internal organs such as the heart, liver, brain, kidney,etc.. The therapeutic principle at this moment is to inhibit the secretion of pancreas, lighten load and damage that the pancreas organizes.
Because the acid gastric juice stimulates the pancreas to secrete the important material of the pancreatic juice, so, reducing the secretion of the gastric acid just equals and reduces the secretion of pancreatic juice. It verifies, first cyanogen miaow guanidine has strong inhibiting the function that the gastric acid secretes to study by clinical pharmacology, so can play and inhibit the function that the pancreas secretes indirectly. What merits attention is that has reported recently first cyanogen miaow guanidine can inhibit the function that pancreas cells secrete the pancreatic juice directly, have applied to the treatment of the acute pancreatitis and already made the good result. This medicine is generally taken 0 orally. 2 grams, 4 times a day, it is dripped that the persons who can't take orally can be quiet in the liquid, 400 milligrams, 2-3 times a day. Function is fast, the result is reliable.
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Why does pancreatitic patient treat by first cyanogen miaow guanidine _ at the time of treatment
Why does pancreatitic patient treat by first cyanogen miaow guanidine _ at the time of treatment
A large number of physiological experiment and clinical observation indicate, the gastric acid stimulates the pancreas to secrete one of the main factors of the pancreatic juice. It is entered every day year in year out that normal to secrete about 1000- 1500 ml of pancreatic juice, among them secrete to about 2000 one 8000 milligram every day of trypsin in the small intestine. Pigeonhole, increase in duodenum, when the intersection of pot and belly cause with calculus, tumour, inflammation narrowly, obstruct, cause and arrange the obstacle outside the pancreatic juice, the pressure of pancreatic duct rises, while produce pancreas enzyme activated and cause pancreas to digest, damage of heavier pancreas. If the pancreas is secreted vigorously, can make the condition aggravate day by day, some can develop from simple edema type pancreatitis into the necrosis type serious disease and pancreatitis of bleeding, and can cause the damage of much internal organs such as the heart, liver, brain, kidney,etc.. The therapeutic principle at this moment is to inhibit the secretion of pancreas, lighten load and damage that the pancreas organizes. Because the acid gastric juice stimulates the pancreas to secrete the important material of the pancreatic juice, so, reducing the secretion of the gastric acid just equals and reduces the secretion of pancreatic juice. It verifies, first cyanogen miaow guanidine has strong inhibiting the function that the gastric acid secretes to study by clinical pharmacology, so can play and inhibit the function that the pancreas secretes indirectly. What merits attention is that has reported recently first cyanogen miaow guanidine can inhibit the function that pancreas cells secrete the pancreatic juice directly, have applied to the treatment of the acute pancreatitis and already made the good result. This medicine generally takes orally 0.2 grams, 4 times a day, it is dripped that persons who can't take orally can be quiet in the liquid, 400 milligrams, 2-3 times a day. Function is fast, the result is reliable.
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A large number of physiological experiment and clinical observation indicate, the gastric acid stimulates the pancreas to secrete one of the main factors of the pancreatic juice. It is entered every day year in year out that normal to secrete about 1000- 1500 ml of pancreatic juice, among them secrete to about 2000 one 8000 milligram every day of trypsin in the small intestine. Pigeonhole, increase in duodenum, when the intersection of pot and belly cause with calculus, tumour, inflammation narrowly, obstruct, cause and arrange the obstacle outside the pancreatic juice, the pressure of pancreatic duct rises, while produce pancreas enzyme activated and cause pancreas to digest, damage of heavier pancreas. If the pancreas is secreted vigorously, can make the condition aggravate day by day, some can develop from simple edema type pancreatitis into the necrosis type serious disease and pancreatitis of bleeding, and can cause the damage of much internal organs such as the heart, liver, brain, kidney,etc.. The therapeutic principle at this moment is to inhibit the secretion of pancreas, lighten load and damage that the pancreas organizes. Because the acid gastric juice stimulates the pancreas to secrete the important material of the pancreatic juice, so, reducing the secretion of the gastric acid just equals and reduces the secretion of pancreatic juice. It verifies, first cyanogen miaow guanidine has strong inhibiting the function that the gastric acid secretes to study by clinical pharmacology, so can play and inhibit the function that the pancreas secretes indirectly. What merits attention is that has reported recently first cyanogen miaow guanidine can inhibit the function that pancreas cells secrete the pancreatic juice directly, have applied to the treatment of the acute pancreatitis and already made the good result. This medicine generally takes orally 0.2 grams, 4 times a day, it is dripped that persons who can't take orally can be quiet in the liquid, 400 milligrams, 2-3 times a day. Function is fast, the result is reliable.
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What complication v_ general knowledge does pancreatitis often cause
What complication v_ general knowledge does pancreatitis often cause
Simple edema type pancreatitis have complication generally, old age enter and serious disease person apt to present complication much, cause the condition to be complicated and diagnose the difficulty, full of contradictions on treating. This kind of situation sees more necrosis type pancreatitis of acute bleeding, it amalgamate peritonitis, the intersection of pancreas and cyst, abscess, acute the intersection of liver and necrosis, the intersection of kidney and decline, the intersection of heart and decline, gastritis and duodenitis,etc. of bleeding etc., amalgamate disease by these often, some can present alone, some can odd appear meanwhile. Understand the emergence law, characteristic of these complications, have important meanings with the precautionary measures to treat to take in time. There are several kinds as follows of organ complications outside the most common pancreas: (1)Acute heart function obstacle: Acute pancreatitis, especially bleeding necrosis type pancreatitis often present the heart function obstacle, necrosis of myocardium bleeding, the serious rhythm of the heart is disorderly,etc., among them that saw at most on clinic is that an electrocardiogram is unusual, account for more than 50%, for instance T wave is inverted, section ST drops, various block, the wall blocks up etc. behind the cardiac muscle. (2)The acute lung function is not complete: Acute pancreatitis amalgamates morbidity of a disease and accounts for 18% one 27%. Generally dyspnea, cyanosis, hypoxemia disease take place in 3- 5 days after having illness coming on, there are can because of kininase on lung,it stimulate trypsin,etc. make on pulmonary vein convulsion, lung extravasated blood and bleeding, lung piece and among quality pneumonia,etc.. Again but because there are too much shock, infusion, blood coagulation, lung blood flow volume are insufficient in the filling the air blood vessel, produce acute lung function not complete syndrome, mortality is very high after this amalgamates disease to present, someone reports that accounts for 79.2%, is the necrosis type one of the important death reasons of pancreatitis bleeding. (3)The acute renal function is depleted: This amalgamate emergence of disease blood pressure drop at shock mainly, lead to the fact renal tubule blood flow insufficient in supply, kidney ischemic and kinin the intersection of blood vessel and active substance and the intersection of pancreas and the intersection of necrosis and product cause to the tubular damage of kidney. This amalgamates incidence of disease and accounts for 15% one 20%, mortality happens in the first week after ill also very high, much. So, once lack the urine, should take measures such as a large amount of speed urine diuresis, preventative dialysis,etc. early, can be expected to reduce mortality. (4)Low blood capacity shock: Low blood capacity shock is necrosis type pancreatitis and common amalgamation disease too, this amalgamates appearance of disease, often show the pancreas is organized there is bulk bleeding necrosis, the wing gland is in charge of being pressed blockage or pancreatic duct of outflowing and causes the pancreatic juice and breaks a large amount of pancreatic juice to leak, in addition, other factors of bleeding etc. again, the emergence which cause shock. (5)Amalgamation disease of pancreas is as follows, false cyst of the pancreas, its incidence accounts for about 5%. Cyst can oppress the pancreas to organize on one hand, can also oppress and corrode other internal organs around at the same time, cause ischemic and necrosis. If cyst is broken into the intestines and stomach, biliary tract, can cause upper digestive tract massive haemorrhage. In addition, such complications as the abdominal cavity that can also appear around the pancreas abscess and pancreas is infected with. Can solicit the Three Tenors at this moment: The body temperature is high, the blood is as high as high, blood, urine amylase, and can be on belly and lump.
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Simple edema type pancreatitis have complication generally, old age enter and serious disease person apt to present complication much, cause the condition to be complicated and diagnose the difficulty, full of contradictions on treating. This kind of situation sees more necrosis type pancreatitis of acute bleeding, it amalgamate peritonitis, the intersection of pancreas and cyst, abscess, acute the intersection of liver and necrosis, the intersection of kidney and decline, the intersection of heart and decline, gastritis and duodenitis,etc. of bleeding etc., amalgamate disease by these often, some can present alone, some can odd appear meanwhile. Understand the emergence law, characteristic of these complications, have important meanings with the precautionary measures to treat to take in time. There are several kinds as follows of organ complications outside the most common pancreas: (1)Acute heart function obstacle: Acute pancreatitis, especially bleeding necrosis type pancreatitis often present the heart function obstacle, necrosis of myocardium bleeding, the serious rhythm of the heart is disorderly,etc., among them that saw at most on clinic is that an electrocardiogram is unusual, account for more than 50%, for instance T wave is inverted, section ST drops, various block, the wall blocks up etc. behind the cardiac muscle. (2)The acute lung function is not complete: Acute pancreatitis amalgamates morbidity of a disease and accounts for 18% one 27%. Generally dyspnea, cyanosis, hypoxemia disease take place in 3- 5 days after having illness coming on, there are can because of kininase on lung,it stimulate trypsin,etc. make on pulmonary vein convulsion, lung extravasated blood and bleeding, lung piece and among quality pneumonia,etc.. Again but because there are too much shock, infusion, blood coagulation, lung blood flow volume are insufficient in the filling the air blood vessel, produce acute lung function not complete syndrome, mortality is very high after this amalgamates disease to present, someone reports that accounts for 79.2%, is the necrosis type one of the important death reasons of pancreatitis bleeding. (3)The acute renal function is depleted: This amalgamate emergence of disease blood pressure drop at shock mainly, lead to the fact renal tubule blood flow insufficient in supply, kidney ischemic and kinin the intersection of blood vessel and active substance and the intersection of pancreas and the intersection of necrosis and product cause to the tubular damage of kidney. This amalgamates incidence of disease and accounts for 15% one 20%, mortality happens in the first week after ill also very high, much. So, once lack the urine, should take measures such as a large amount of speed urine diuresis, preventative dialysis,etc. early, can be expected to reduce mortality. (4)Low blood capacity shock: Low blood capacity shock is necrosis type pancreatitis and common amalgamation disease too, this amalgamates appearance of disease, often show the pancreas is organized there is bulk bleeding necrosis, the wing gland is in charge of being pressed blockage or pancreatic duct of outflowing and causes the pancreatic juice and breaks a large amount of pancreatic juice to leak, in addition, other factors of bleeding etc. again, the emergence which cause shock. (5)Amalgamation disease of pancreas is as follows, false cyst of the pancreas, its incidence accounts for about 5%. Cyst can oppress the pancreas to organize on one hand, can also oppress and corrode other internal organs around at the same time, cause ischemic and necrosis. If cyst is broken into the intestines and stomach, biliary tract, can cause upper digestive tract massive haemorrhage. In addition, such complications as the abdominal cavity that can also appear around the pancreas abscess and pancreas is infected with. Can solicit the Three Tenors at this moment: The body temperature is high, the blood is as high as high, blood, urine amylase, and can be on belly and lump.
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What _'s treatment is the therapeutic principle of pancreatitis
What _'s treatment is the therapeutic principle of pancreatitis
The treatment of pancreatitis is different to some extent on the basis of its condition. Light simple edema type pancreatitis adopts the treatment of internal medicine department in principle, heavy-duty and necrosis type pancreatitis need internal and external departments to treat in coordination. Internal medicine department treats the principle: (1)Fasting, the intestines and stomach reduce pressure, intravenous infusion: At the pancreatitis, because pancreas organize edema, congested, even necrosis, its function of secretion has already been obviously reduced, if eat and stimulate the intestines and stomach to secrete a large number of liquid, the liquid of intestines and stomach stimulates the pancreas, make it secrete pancreatic juice, will inevitablely aggravate the burden of the pancreas in this way, has aggravated the condition. Fasting to make the intersection of pancreas and very fine rest at this moment, reduce load, in order to resume as soon as possible. Heat, water, electrolyte,etc. needed are supplemented by the vein. (2)Solve convulsion and stop the pain, reduce the pancreatic juice to secrete: Employ atropine, Pethidine, restrain the intersection of peptide and enzyme, 5 - the intersection of Fluorine and the intersection of urea and pyrimidine, first the intersection of cyanogen and the intersection of miaow and the intersection of guanidine,etc. and H2 receptor, block pharmaceuticals and already solve convulsion and stop the pain, can reduce the secretion of aunt's liquid, body of gland of intestines and stomach, is favorable to the recovery of inflammation. (3)Traditional Chinese medicine " soup of clear pancreas " Treat: It is according to traditional Chinese medicine " No the general rule aches " Theoretical remove heat by catharsis regulate the flow of vital energy. The great ecliptic longitude Western medicine pharmacology in this medicine is studied; Think that has inhibitory activity on pancreatic lipase, amylase, trypsin, there is definite curative effect on treating amine adenitis. (4)The application of antibiotic: Because of amalgamate, cause infect, by cholelithiasis often by acute pancreatitis, so antibiotic control it infects to be indispensable measure. The commonly used one is penicillin, ammonia benzyl penicillin, Streptomycin, gentamicin,etc.. (5)The treatment of complication: Pancreatitis is many because of complication in the acute necrosis bleeding type, often cause the death, must find, deal with early, walk preventative administration protective measure if necessary in time. (6)Surgical treatment: As acute pancreatitis is guarded and treats actively by internal medicine department, symptom does not have obvious improvement, or while worsening gradually; When acute pancreatitis amalgamates abscess or false cyst; It is suspicious when can't get rid of ulcer punching or small intestine necrosis to diagnose; Should adopt the surgical treatment early, the pancreas is guided in order to do in time, remove necrosis to organize, excise false cyst,etc.. (7)The peritoneum dialyses the treatment: It dialyses to be can contain a large number of the intersection of pancreas and enzyme and inflammation to ooze out liquid, discharge outside the body product in the abdominal cavity, thus prevent and reduce these noxious substances to the poison of the health, and reduce the emergence of complication.
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The treatment of pancreatitis is different to some extent on the basis of its condition. Light simple edema type pancreatitis adopts the treatment of internal medicine department in principle, heavy-duty and necrosis type pancreatitis need internal and external departments to treat in coordination. Internal medicine department treats the principle: (1)Fasting, the intestines and stomach reduce pressure, intravenous infusion: At the pancreatitis, because pancreas organize edema, congested, even necrosis, its function of secretion has already been obviously reduced, if eat and stimulate the intestines and stomach to secrete a large number of liquid, the liquid of intestines and stomach stimulates the pancreas, make it secrete pancreatic juice, will inevitablely aggravate the burden of the pancreas in this way, has aggravated the condition. Fasting to make the intersection of pancreas and very fine rest at this moment, reduce load, in order to resume as soon as possible. Heat, water, electrolyte,etc. needed are supplemented by the vein. (2)Solve convulsion and stop the pain, reduce the pancreatic juice to secrete: Employ atropine, Pethidine, restrain the intersection of peptide and enzyme, 5 - the intersection of Fluorine and the intersection of urea and pyrimidine, first the intersection of cyanogen and the intersection of miaow and the intersection of guanidine,etc. and H2 receptor, block pharmaceuticals and already solve convulsion and stop the pain, can reduce the secretion of aunt's liquid, body of gland of intestines and stomach, is favorable to the recovery of inflammation. (3)Traditional Chinese medicine " soup of clear pancreas " Treat: It is according to traditional Chinese medicine " No the general rule aches " Theoretical remove heat by catharsis regulate the flow of vital energy. The great ecliptic longitude Western medicine pharmacology in this medicine is studied; Think that has inhibitory activity on pancreatic lipase, amylase, trypsin, there is definite curative effect on treating amine adenitis. (4)The application of antibiotic: Because of amalgamate, cause infect, by cholelithiasis often by acute pancreatitis, so antibiotic control it infects to be indispensable measure. The commonly used one is penicillin, ammonia benzyl penicillin, Streptomycin, gentamicin,etc.. (5)The treatment of complication: Pancreatitis is many because of complication in the acute necrosis bleeding type, often cause the death, must find, deal with early, walk preventative administration protective measure if necessary in time. (6)Surgical treatment: As acute pancreatitis is guarded and treats actively by internal medicine department, symptom does not have obvious improvement, or while worsening gradually; When acute pancreatitis amalgamates abscess or false cyst; It is suspicious when can't get rid of ulcer punching or small intestine necrosis to diagnose; Should adopt the surgical treatment early, the pancreas is guided in order to do in time, remove necrosis to organize, excise false cyst,etc.. (7)The peritoneum dialyses the treatment: It dialyses to be can contain a large number of the intersection of pancreas and enzyme and inflammation to ooze out liquid, discharge outside the body product in the abdominal cavity, thus prevent and reduce these noxious substances to the poison of the health, and reduce the emergence of complication.
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's prevention and health care of nursing of postoperative pancreatitis
's prevention and health care of nursing of postoperative pancreatitis
When in hospital, the patient is besides following the doctor's order to take the essential medicine, should also pay attention to the following several points: 1. Should not allocate the intestines and stomach to reduce pressure to manage too early. The intestines and stomach reduce pressure and manage " The help is in charge of " ,Essential thing. Insert intestines and stomach reduce pressure purpose of tube: First, take patient's secretion in the stomach out, second, reduce the stomach content thing to stimulate the pancreatic juice to divide the liquid, reduce the intersection of pancreas and chance that enteric identical mouth leak. 2. Don't take food and drink the water too early. Should depend on the patient's situation in inserting stomach tube and fasting, prohibiting size of time of water. 3. Don't go to the fields too early and move about. The patient after the pancreas operation needs the staying in bed of longer period, especially the old and patient whose function fails of blood vessel of heart brain, can the cerebrovascular break-up of heart take place because of change of body posture to them, cause the unexpected death.4. Pay attention to and eat the kind. Generally speaking, should be advanced liquids such as boiled water, thin rice gruel, thin porridge,etc., increase the taking food amount slowly after the patient is all without exception right, avoid eating sweet food and greasy diet, make sure not to eat and drink immoderately and drink. The patient should pay attention to making the situation besides wanting the appropriate rest and avoiding suffering from cold after leaving hospital:1,If shown as the patient of diabetes because the pancreas endocrine function is insufficient, should follow the doctor's advice and take and lower the candy medicine; Do persons who are cut all of pancreas, need to inject insulin all the life. Monitor blood glucose and urine candy regularly. In addition, will control the intaking amount of the staple food strictly, will not eat or eat few fruits containing high percentage of candy, eat more vegetables; Pay attention to doing exercises etc. appropriately. 2,The patient with exocrinosity of pancreas with insufficient function, should stop drinking and give up smoking, don't eat and drink immoderately, eat little fat, eat more protein, carbohydrate and vegetables fruit, have more meals a day but less food at each. Add and use various pancreas enzymic preparations if necessary.
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When in hospital, the patient is besides following the doctor's order to take the essential medicine, should also pay attention to the following several points: 1. Should not allocate the intestines and stomach to reduce pressure to manage too early. The intestines and stomach reduce pressure and manage " The help is in charge of " ,Essential thing. Insert intestines and stomach reduce pressure purpose of tube: First, take patient's secretion in the stomach out, second, reduce the stomach content thing to stimulate the pancreatic juice to divide the liquid, reduce the intersection of pancreas and chance that enteric identical mouth leak. 2. Don't take food and drink the water too early. Should depend on the patient's situation in inserting stomach tube and fasting, prohibiting size of time of water. 3. Don't go to the fields too early and move about. The patient after the pancreas operation needs the staying in bed of longer period, especially the old and patient whose function fails of blood vessel of heart brain, can the cerebrovascular break-up of heart take place because of change of body posture to them, cause the unexpected death.4. Pay attention to and eat the kind. Generally speaking, should be advanced liquids such as boiled water, thin rice gruel, thin porridge,etc., increase the taking food amount slowly after the patient is all without exception right, avoid eating sweet food and greasy diet, make sure not to eat and drink immoderately and drink. The patient should pay attention to making the situation besides wanting the appropriate rest and avoiding suffering from cold after leaving hospital:1,If shown as the patient of diabetes because the pancreas endocrine function is insufficient, should follow the doctor's advice and take and lower the candy medicine; Do persons who are cut all of pancreas, need to inject insulin all the life. Monitor blood glucose and urine candy regularly. In addition, will control the intaking amount of the staple food strictly, will not eat or eat few fruits containing high percentage of candy, eat more vegetables; Pay attention to doing exercises etc. appropriately. 2,The patient with exocrinosity of pancreas with insufficient function, should stop drinking and give up smoking, don't eat and drink immoderately, eat little fat, eat more protein, carbohydrate and vegetables fruit, have more meals a day but less food at each. Add and use various pancreas enzymic preparations if necessary.
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The family of pancreatitis treats _'s prevention and health care of the measure
The family of pancreatitis treats _'s prevention and health care of the measure
Pancreatitis
Pancreatitis is acute or chronic inflammation of the pancreas. About half of patients are the person who has already suffered from cholelithiasis; About remaining half of persons who there is a large number of to drink at ordinary times and are used to. Other factors have function of some medicines, punch ulcer, hyperthyroidism, virus infecting, belly that are injured, fat, malnutritive and using medicines etc., will raise the morbidity of pancreatitis.
This disease can be divided into acutely or chronically. The acute characteristic is disgusting and vomiting, pain that happens and can't stand in and the navel perimeter, within the the 12- 24 hours that sharp pain take place after not eat and drink immoderately or drink in a large amounting often. This kind of pain will be spread to back and chest, peak (this is an extremely critical state) after several hours . The acute pancreatitic patient, like not treating in time, may delay into chronic pancreatitis. When acute pancreatitis breaks out seriously, may cause patient's shock, even die.
Chronic pancreas inflammation is disease that acute pancreatitis had not cured and developed for many years. This kind disease than,rare relatively,sometimes too may appear after acute pancreatitis recur. The reason to cause the chronic pancreatitis, mainly calculus influences the function of the pancreas, or relate to the fact that the patient gets drunk at ordinary times. A kind of dull pain one that presented convulsion appears in the patient's right belly underpart, this kind of pain often becomes extremely serious after taking food and drinking. Patient incline, can relieve forward health to some extent. Some people will also present indigestive symptom among outbreak two times. Other symptom including belly swelling, gas too much burning aching or shouting pain, vomit, fever, hypertension, muscle aching, abnormal stench excrement and urine by upper abdomen. The pancreas secretes insulin and the candy rises plainly (in order to control blood glucose) With the body of gland of digestive ferment. So, pancreatitis often causes diabetes and digests the difficulty.
The family treats the measure
Not hasty ophthalmic medicine
When acute pancreatitis results in suffering from abdominal pain to break out, unsuitable to abuse analgesic, so as not to conceal the condition, affect adversely and diagnose.
Choice of the medicine
If your pain symptom is very serious, can take anodyne. Having meal each time, you also need to take some enzymes, because the pancreas damaged can't produce the enzyme man any more already at this moment, otherwise your digestive system will present the obstacle. Abdominal distension and persons who rush down of fat, use the pancreas enzyme slice, take orally after the meal, or take many enzyme slice orally. In order to reduce the gastric acid deactivation of pancreas enzyme, take orally for the man with Renee at the same time.
Cai eats
Should rigorously enforce fasting in the acute one of pancreatitis, each intravenous fluid infusion is 3000 ml, in order to keep water and electrolyte
Equilibrium.
Chronic one can offer low fat, high protein, high carbohydrate diet.
Stop drinking
Once chronic pancreatitis is made a definite diagnosis of, should totally stop drinking and and follow the diet method that a doctor proposes to do strictly.
Avoid eating and drinking immoderately and raw and cold greasy food
Alimentary therapy of diabetes that please see the diet.
Medicated diet of health care
Powder of pancreas
There are no limitations on animal's pancreas quantity such as the pig, sheep, dries and comminutes the powder, take 6 grams each time, every 3 times. Help the recovery of the pancreas and treat.
Tea of rhubarb
Grow 30 of rhubarb, ink fry the clothes. It generally spends 30 grams at least every day. With tongue fur yellow oily intensity and number of times of the stool amount of medicine adjusted, that normal serves as the standard. Detoxify and have an ease constipation.
Gold powder in the crow
250 grams of Endothelium Corneum Gigeriae Galli or chicken's gizzard, bake over a slow fire yellow and grind into powder swallowing, 6- 10 grams each time, 3 times a day. Help digest.
Supplement the nutrient
Magnesium pincers mixture
It is 1000 milligrams every day. Magnesium resists illness of the body of gland.
Pancreas enzyme
Take while having a dinner. Consumption is in accordance with the instructions of products.
Protein decomposes enzymes
The empty stomach period between two meal and take before the sleep. Assist to diminish inflammation. Help protein to digest the burden which reduces the pancreas.
Pancreas concentrate
Consumption includes some in order to mend protein of the pancreas in accordance with the instructions of products.
The thiamine group is added and is suffused with the acid (B5) And cigarette alkali plain (B3)
Consumption is 50- 100 milligrams respectively, 3 times a day. Resist tense vitamin. It is the fat and important material of the carbohydrate metabolism that it is plain that suffused with acid and cigarette alkali.
Exceed the lipoprotein factor (boron of bladder-like container, inositol and lecithin)
In accordance with the instructions of products. It is fat emulsifier, assist the fat to digest.
Vitamin C
100 milligrams, 4 times a day, if necessary can increase consumption again. It is a kind of strong person who removes free radical and antioxidant.
Vitamin E
Every day 200~400IU, increases to the quantity that the body needs gradually. A kind of strong antioxidant and person who carries of oxygen. Repair helping to be organized.
Dangerous signal
Symptom of the acute pancreatitis is shown as:
*Often after not drinking after the meal or in a large amount ] 2- 24 hour the intersection of belly and pain happen suddenly, can diffuse to back.
*Generate heat, disgusting or vomit.
*The skin is clammy, abdominal distension, tenderness, pulse is accelerated.
Chronic pancreatitis is shown as:
*Suffer from abdominal pain for a long time, suffering from abdominal pain can diffuse to the dorsal chest, pain can be lasting or disconnected.
*Stool of stench.
*Disgusting, vomit, abdominal distension,
*The weight drops.
*Drop the lasting weight after the pancreatitic treatment, may suffer from the influential food to digest normally
Complication.
*If the skin is pale, clammy, palpitation, breathing to accelerate, it may be shock
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Pancreatitis
Pancreatitis is acute or chronic inflammation of the pancreas. About half of patients are the person who has already suffered from cholelithiasis; About remaining half of persons who there is a large number of to drink at ordinary times and are used to. Other factors have function of some medicines, punch ulcer, hyperthyroidism, virus infecting, belly that are injured, fat, malnutritive and using medicines etc., will raise the morbidity of pancreatitis.
This disease can be divided into acutely or chronically. The acute characteristic is disgusting and vomiting, pain that happens and can't stand in and the navel perimeter, within the the 12- 24 hours that sharp pain take place after not eat and drink immoderately or drink in a large amounting often. This kind of pain will be spread to back and chest, peak (this is an extremely critical state) after several hours . The acute pancreatitic patient, like not treating in time, may delay into chronic pancreatitis. When acute pancreatitis breaks out seriously, may cause patient's shock, even die.
Chronic pancreas inflammation is disease that acute pancreatitis had not cured and developed for many years. This kind disease than,rare relatively,sometimes too may appear after acute pancreatitis recur. The reason to cause the chronic pancreatitis, mainly calculus influences the function of the pancreas, or relate to the fact that the patient gets drunk at ordinary times. A kind of dull pain one that presented convulsion appears in the patient's right belly underpart, this kind of pain often becomes extremely serious after taking food and drinking. Patient incline, can relieve forward health to some extent. Some people will also present indigestive symptom among outbreak two times. Other symptom including belly swelling, gas too much burning aching or shouting pain, vomit, fever, hypertension, muscle aching, abnormal stench excrement and urine by upper abdomen. The pancreas secretes insulin and the candy rises plainly (in order to control blood glucose) With the body of gland of digestive ferment. So, pancreatitis often causes diabetes and digests the difficulty.
The family treats the measure
Not hasty ophthalmic medicine
When acute pancreatitis results in suffering from abdominal pain to break out, unsuitable to abuse analgesic, so as not to conceal the condition, affect adversely and diagnose.
Choice of the medicine
If your pain symptom is very serious, can take anodyne. Having meal each time, you also need to take some enzymes, because the pancreas damaged can't produce the enzyme man any more already at this moment, otherwise your digestive system will present the obstacle. Abdominal distension and persons who rush down of fat, use the pancreas enzyme slice, take orally after the meal, or take many enzyme slice orally. In order to reduce the gastric acid deactivation of pancreas enzyme, take orally for the man with Renee at the same time.
Cai eats
Should rigorously enforce fasting in the acute one of pancreatitis, each intravenous fluid infusion is 3000 ml, in order to keep water and electrolyte
Equilibrium.
Chronic one can offer low fat, high protein, high carbohydrate diet.
Stop drinking
Once chronic pancreatitis is made a definite diagnosis of, should totally stop drinking and and follow the diet method that a doctor proposes to do strictly.
Avoid eating and drinking immoderately and raw and cold greasy food
Alimentary therapy of diabetes that please see the diet.
Medicated diet of health care
Powder of pancreas
There are no limitations on animal's pancreas quantity such as the pig, sheep, dries and comminutes the powder, take 6 grams each time, every 3 times. Help the recovery of the pancreas and treat.
Tea of rhubarb
Grow 30 of rhubarb, ink fry the clothes. It generally spends 30 grams at least every day. With tongue fur yellow oily intensity and number of times of the stool amount of medicine adjusted, that normal serves as the standard. Detoxify and have an ease constipation.
Gold powder in the crow
250 grams of Endothelium Corneum Gigeriae Galli or chicken's gizzard, bake over a slow fire yellow and grind into powder swallowing, 6- 10 grams each time, 3 times a day. Help digest.
Supplement the nutrient
Magnesium pincers mixture
It is 1000 milligrams every day. Magnesium resists illness of the body of gland.
Pancreas enzyme
Take while having a dinner. Consumption is in accordance with the instructions of products.
Protein decomposes enzymes
The empty stomach period between two meal and take before the sleep. Assist to diminish inflammation. Help protein to digest the burden which reduces the pancreas.
Pancreas concentrate
Consumption includes some in order to mend protein of the pancreas in accordance with the instructions of products.
The thiamine group is added and is suffused with the acid (B5) And cigarette alkali plain (B3)
Consumption is 50- 100 milligrams respectively, 3 times a day. Resist tense vitamin. It is the fat and important material of the carbohydrate metabolism that it is plain that suffused with acid and cigarette alkali.
Exceed the lipoprotein factor (boron of bladder-like container, inositol and lecithin)
In accordance with the instructions of products. It is fat emulsifier, assist the fat to digest.
Vitamin C
100 milligrams, 4 times a day, if necessary can increase consumption again. It is a kind of strong person who removes free radical and antioxidant.
Vitamin E
Every day 200~400IU, increases to the quantity that the body needs gradually. A kind of strong antioxidant and person who carries of oxygen. Repair helping to be organized.
Dangerous signal
Symptom of the acute pancreatitis is shown as:
*Often after not drinking after the meal or in a large amount ] 2- 24 hour the intersection of belly and pain happen suddenly, can diffuse to back.
*Generate heat, disgusting or vomit.
*The skin is clammy, abdominal distension, tenderness, pulse is accelerated.
Chronic pancreatitis is shown as:
*Suffer from abdominal pain for a long time, suffering from abdominal pain can diffuse to the dorsal chest, pain can be lasting or disconnected.
*Stool of stench.
*Disgusting, vomit, abdominal distension,
*The weight drops.
*Drop the lasting weight after the pancreatitic treatment, may suffer from the influential food to digest normally
Complication.
*If the skin is pale, clammy, palpitation, breathing to accelerate, it may be shock
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The family of pancreatitis treats the complete collections of _'s treatment of the measure
The family of pancreatitis treats the complete collections of _'s treatment of the measure
If your pain symptom is very serious, can take anodyne. Having meal each time, you also need to take some enzymes, because the pancreas damaged can't produce the enzyme man any more already at this moment, otherwise your digestive system will present the obstacle. Abdominal distension and persons who rush down of fat, use the pancreas enzyme slice, take orally after the meal, or take many enzyme slice orally. In order to reduce the gastric acid deactivation of pancreas enzyme, take orally for the man with Renee at the same time.Pancreatitis
Pancreatitis is acute or chronic inflammation of the pancreas. About half of patients are the person who has already suffered from cholelithiasis; About remaining half of persons who there is a large number of to drink at ordinary times and are used to. Other factors have function of some medicines, punch ulcer, hyperthyroidism, virus infecting, belly that are injured, fat, malnutritive and using medicines etc., will raise the morbidity of pancreatitis.
This disease can be divided into acutely or chronically. The acute characteristic is disgusting and vomiting, pain that happens and can't stand in and the navel perimeter, within the the 12- 24 hours that sharp pain take place after not eat and drink immoderately or drink in a large amounting often. This kind of pain will be spread to back and chest, peak (this is an extremely critical state) after several hours . The acute pancreatitic patient, like not treating in time, may delay into chronic pancreatitis. When acute pancreatitis breaks out seriously, may cause patient's shock, even die.
Chronic pancreas inflammation is disease that acute pancreatitis had not cured and developed for many years. This kinds of disease than,relatively rare, can't sometimes too may appear after acute pancreatitis recur. The reason to cause the chronic pancreatitis, mainly calculus influences the function of the pancreas, or relate to the fact that the patient gets drunk at ordinary times. A kind of dull pain one that presented convulsion appears in the patient's right belly underpart, this kind of pain often becomes extremely serious after taking food and drinking. Patient incline, can relieve forward health to some extent. Some people will also present indigestive symptom among outbreak two times. Other symptom including belly swelling, gas too much burning aching or shouting pain, vomit, fever, hypertension, muscle aching, abnormal stench excrement and urine by upper abdomen. Pancreas secrete insulin and rise plain candy ' In order to control blood glucose) With the body of gland of digestive ferment. So, pancreatitis often causes diabetes and digests the difficulty.
The family treats the measure
Not hasty ophthalmic medicine
When acute pancreatitis results in suffering from abdominal pain to break out, unsuitable to abuse analgesic, so as not to conceal the condition, affect adversely and diagnose.
Choice of the medicine
If your pain symptom is very serious, can take anodyne. Having meal each time, you also need to take some enzymes, because the pancreas damaged can't produce the enzyme man any more already at this moment, otherwise your digestive system will present the obstacle. Abdominal distension and persons who rush down of fat, use the pancreas enzyme slice, take orally after the meal, or take many enzyme slice orally. In order to reduce the gastric acid deactivation of pancreas enzyme, take orally for the man with Renee at the same time.
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If your pain symptom is very serious, can take anodyne. Having meal each time, you also need to take some enzymes, because the pancreas damaged can't produce the enzyme man any more already at this moment, otherwise your digestive system will present the obstacle. Abdominal distension and persons who rush down of fat, use the pancreas enzyme slice, take orally after the meal, or take many enzyme slice orally. In order to reduce the gastric acid deactivation of pancreas enzyme, take orally for the man with Renee at the same time.Pancreatitis
Pancreatitis is acute or chronic inflammation of the pancreas. About half of patients are the person who has already suffered from cholelithiasis; About remaining half of persons who there is a large number of to drink at ordinary times and are used to. Other factors have function of some medicines, punch ulcer, hyperthyroidism, virus infecting, belly that are injured, fat, malnutritive and using medicines etc., will raise the morbidity of pancreatitis.
This disease can be divided into acutely or chronically. The acute characteristic is disgusting and vomiting, pain that happens and can't stand in and the navel perimeter, within the the 12- 24 hours that sharp pain take place after not eat and drink immoderately or drink in a large amounting often. This kind of pain will be spread to back and chest, peak (this is an extremely critical state) after several hours . The acute pancreatitic patient, like not treating in time, may delay into chronic pancreatitis. When acute pancreatitis breaks out seriously, may cause patient's shock, even die.
Chronic pancreas inflammation is disease that acute pancreatitis had not cured and developed for many years. This kinds of disease than,relatively rare, can't sometimes too may appear after acute pancreatitis recur. The reason to cause the chronic pancreatitis, mainly calculus influences the function of the pancreas, or relate to the fact that the patient gets drunk at ordinary times. A kind of dull pain one that presented convulsion appears in the patient's right belly underpart, this kind of pain often becomes extremely serious after taking food and drinking. Patient incline, can relieve forward health to some extent. Some people will also present indigestive symptom among outbreak two times. Other symptom including belly swelling, gas too much burning aching or shouting pain, vomit, fever, hypertension, muscle aching, abnormal stench excrement and urine by upper abdomen. Pancreas secrete insulin and rise plain candy ' In order to control blood glucose) With the body of gland of digestive ferment. So, pancreatitis often causes diabetes and digests the difficulty.
The family treats the measure
Not hasty ophthalmic medicine
When acute pancreatitis results in suffering from abdominal pain to break out, unsuitable to abuse analgesic, so as not to conceal the condition, affect adversely and diagnose.
Choice of the medicine
If your pain symptom is very serious, can take anodyne. Having meal each time, you also need to take some enzymes, because the pancreas damaged can't produce the enzyme man any more already at this moment, otherwise your digestive system will present the obstacle. Abdominal distension and persons who rush down of fat, use the pancreas enzyme slice, take orally after the meal, or take many enzyme slice orally. In order to reduce the gastric acid deactivation of pancreas enzyme, take orally for the man with Renee at the same time.
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Important meaning of the pancreatitic patient's blood glucose level. 's prevention and health care
Important meaning of the pancreatitic patient's blood glucose level. 's prevention and health care
The bile pancreatitic patient's blood glucose level indicates the serious complication
Reuter reports on September 20: The article published on " Archives of Surgery " of September reveals, blood glucose level> =8.3mml/l is that the accurate indication of the serious complication will happen to the bile pancreatitic patient.
Researchers point out: "Index this than fighting subsystem to be easy to spend standard, and can impel the doctor to realize early the patient has already suffered from the serious complication. " At the beginning, Dr. Kelly Meek and its colleagues of California Harbor-UCLA medical centre have developed a assessment system composed of five indexes, to predict whether serious complication will happen in bile pancreatitis:
WBC gt; =14,500,000
BUN gt; =4.3mmol/l
HR gt; =100
GLU gt; =8.3mmol/l
APACHE II grades
Researchers evaluate these indexes on 92 bile pancreatitic cases. 15% are the serious multi system complication patient needing to monitor, treat in ICU in these patients, mortality is 2%.
In single factor analysis, WBC counts, GLU level, APACHE II keep the score, closely linked with serious complication. Dr. Meek's research group finds " Imrie " Mark greater than 3, bile " Ranson " Mark greater than 3 to reveal that there is serious complication.
In much factor analysis, the index correlated to serious complication that only there is the obvious meaning in statistics is GLUgt; =8.3mmol/l. But if the patient still suffers from diabetes while suffering from pancreatitis, then the blood glucose value does not have any index value. Using this index, doctors can assess the severity of the acute pancreatitis in the emergency ward rapidly, make the most appropriate treatment to deal with the patient.
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The bile pancreatitic patient's blood glucose level indicates the serious complication
Reuter reports on September 20: The article published on " Archives of Surgery " of September reveals, blood glucose level> =8.3mml/l is that the accurate indication of the serious complication will happen to the bile pancreatitic patient.
Researchers point out: "Index this than fighting subsystem to be easy to spend standard, and can impel the doctor to realize early the patient has already suffered from the serious complication. " At the beginning, Dr. Kelly Meek and its colleagues of California Harbor-UCLA medical centre have developed a assessment system composed of five indexes, to predict whether serious complication will happen in bile pancreatitis:
WBC gt; =14,500,000
BUN gt; =4.3mmol/l
HR gt; =100
GLU gt; =8.3mmol/l
APACHE II grades
Researchers evaluate these indexes on 92 bile pancreatitic cases. 15% are the serious multi system complication patient needing to monitor, treat in ICU in these patients, mortality is 2%.
In single factor analysis, WBC counts, GLU level, APACHE II keep the score, closely linked with serious complication. Dr. Meek's research group finds " Imrie " Mark greater than 3, bile " Ranson " Mark greater than 3 to reveal that there is serious complication.
In much factor analysis, the index correlated to serious complication that only there is the obvious meaning in statistics is GLUgt; =8.3mmol/l. But if the patient still suffers from diabetes while suffering from pancreatitis, then the blood glucose value does not have any index value. Using this index, doctors can assess the severity of the acute pancreatitis in the emergency ward rapidly, make the most appropriate treatment to deal with the patient.
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