Pancreatitic clinical manifestation and treating _'s symptom

Pancreatitic clinical manifestation and treating _'s symptom
Pancreatitis
Can be divided into acute and chronic two kinds according to pancreatitis of course of disease. Acute pancreatitis is the chemical inflammation caused because pancreas enzyme digests own tissue of pancreas; Chronic pancreatitis refers to inflammation pathological change of recurring of the pancreas or continuation. Pathogenic factor and bile its or 12 mean people of intestinal juice backflow pancreatic duct or pancreatic duct obstruct. Other such as wound and operation, some infection, medicine, high blood calcium or high the intersection of lipoprotein and the intersection of blood and disease,etc., also a pancreatitic risk factor. This disease is Chinese medicine " spleen regret. Wan aches, forms the chest " Wait for the category.
[Clinical manifestation ]
Its clinical characteristic of acute pancreatitis is that the upper abdomen of continuation that broke out suddenly has sharp pain, with generating heat, being disgusting, vomiting, serum and urine amylase vigor rise, peritonitis and shock can take place in the serious one. Chronic pancreatitis is shown as the sign of the acute pancreatitis or pancreas breaking out repeatedly with insufficient function, can have abdominal pain, the intersection of belly and the intersection of bag and lump, yellow subcutaneous ulcer, fat rush down and let out, diabetes,etc. behave under the meat.
[Diagnose ]
1. Patient that suffer from abdominal pain on being acute, have acute relevant symptom of pancreatitis, determine by blood, the intersection of urine and amylase, make the amylase of ascites, check if necessary, raise and reach diagnosing the level can be confirmed as this disease.
2. Should be with diseases such as digestive tract ulcer, acute cholecystitis, gall stone disease, acute intestinal obstruction,etc. to need clinically at any time
Distinguish.
[Treat ]
1. Medicine treatment of Western medicine
(1)Generally treat: The lighter enters low lipoprotein, low protein liquid food; The more heavily one should prohibit to eat, in order to reduce the pancreas and secrete. Must intestines and stomach reduce pressure, reduce gastric acid prevent promoting the pancreas to secrete from. When fasting and intestines and stomach reduce pressure,
Should import the nutriment (such as formating nutrient liquid) And reduce pressure and offer the liquid quantity to supplement water, electrolyte,etc. according to the intestines and stomach, in order to keep water electrolyte balanced.
(2)Drug therapy
Reduce the pancreas to secrete: Such as once O of atropine. 3mg, 3 times every the 1st; A hard once 15mg of stupid benzene of former times, take orally 3 times in one day; Pancreas hyperglycemia have, inhibit function that pancreas secrete, dosage 1mg, at intervals of 4-6 intravenous to give medicine - time in hour.
Reduce the enzyme activity of pancreas: Restrain the intersection of peptide and the intersection of enzyme and every day 8- 12 u Wan, soluble in the intravenous bit in 5% of the glucose. Love Meng 20,000-40,000u, the intravenous bit 2 times a day.
Stop the pain; Pain is violent can use Pethidine 50-100mg skin note, or morphine adds Atto to share brilliantly, in order to lighten and suffer from abdominal pain.
Antibacterial drug therapy: In order to prevent and control infecting, daily gentamicin 80,000u intramuscular injection, 2 times a day. On ammonia benzyl penicillin 6-8g/ day, a bit quieter.
(3)Resist the shock treatment: Often because the blood is insufficient in capacity, in order to import whole blood, albumin, blood plasma, substitute and crystal solution. Blood pressure add, use, step up medicine and hormone resume yet.
(4)Surgery treatment: Internal medicine department can consider the surgical treatment while failing to respond to any medical treatment.
2. Traditional Chinese medicine treatment
(1)Heat of spleen of liver is stopped up: Happen suddenly upper abdomen pain, burst take place, aggravate, coerce rib even, with mouth being bitter to swallow, do, vexed and irritable, not thinking of the diet, constipation, the urine is yellow, the red tongue of tongue is yellow, pulse string is counted.
Manage the law: Disperse the depressed liver-energy and pay attention to the spleen, clear away heat openly to leave.
Square medicine: Grow 10 grams of rhubarb, 10 grams of Radix Bupleuri, 10 grams of the roots of large-flowered skullcap, Rhizoma Corydalis IO gram, wood fragrant 10 grams, 10 grams of dried fruits of citron, 15 grams of dandelions, 10 grams of tiger's cane, 15 grams of long-noded pit viper's tongue grass, 12 grams of root of herbaceous peony,
(2)The spleen and stomach are real and hot: Happen suddenly the intersection of upper abdomen and sharp pain, ache if cut, pain refuse, press, hyperpyrexia is vexed and thirsty, the urine is short and red, vomit and do frequently, it is formed that the stool is secret, tongue quality is red, the tongue is yellow and oily or thick and oily, pulse string is counted or counted accurately.
Manage the law: Clear away heat and purge intense heat, open li are captured.
Square medicine: 10 grams of red rattan, 10 grams of the roots of large-flowered skullcap, born 10 grams of rhubarb, 10 grams of thick Piao, 10 grams of Fructus Aurantii Immaturuses, 15 grams of Glauber's salt, frustrating 15 grams of sauced grasses, 12 grams of honeysuckle, 12 grams of Radix Paeoniae Rubras, Rhizoma Corydalising
(3)The spleen of liver is damp and hot: Happen suddenly the intersection of upper abdomen and pain, coerce rib is bloated and full unbearably, refuse, press very, with sick even, think, drink, mouth bitter to swallow, do, body eye turn to be yellow, urine yellow and red, stool secret to marry, pulse string slips or counts, tongue quality is red, the tongue is yellow and oily.
Manage the law: Clear away heat and remove dampness, detoxify openly and leave.
Square medicine: 10 grams for a burst of Artemisia of mattress, Zhi is in 10 grams, grow 10 grams of rhubarb, 10 grams of Radix Bupleuri, the root of large-flowered skullcap ] is 0 grams, 10 grams of Radix Curcumae, 15 grams of dandelions, 10 grams of Rhizoma Corydalis,
(4)Disturb on the round worm: Suffer from abdominal pain unbearable, sweat produce limb to be cold ache, pull, guide shoulder, carry, sick to vomit, receive under the food, the mouth is bitter, not smooth and urinating short red with the stool to generate heat, the tongue fur is yellow and oily, tongue quality is red, pulse string slips.
Manage the law: Drive ascarids and stop the pain, regulate the flow of vital energy openly and leave.
Square medicine: Dark plum m gram, thin hard 3 grams, Sichuan pepper is 6 grams, the peel of China tree is 10 grams, 10 grams of sesame oils, 10 grams of Radix Curcumae, 10 grams of Radix Bupleuri, 10 grams of root of herbaceous peony, 6 grams of Fructus Aurantii Immaturuses, wood fragrant 10 grams, 10 grams of the rhizome of Chinese goldthread, 10 grams of tuber of pinellia, rhubarb
(5)The spleen is empty to hold silt under the arm: The secret anguish of left upper abdomen, break out repeatedly, delay and does not heal, aching has places definitely, lose the appetite, become thin, tired and unable, the stool is half congealed to rush down, tongue quality is lilaceous or light and dark, the tongue is thin and white and slightly oily, it is unable that pulse sinks.
Manage the law: Replenish qi to invigorate the spleen, it is held in place with a net that blood circulation promoting is open.
Square medicine: 10 grams of dangshens, 10 grams of Indian bread, 10 grams of rhizome of large-headed atractylodes, 10 grams of root of herbaceous peony, growing 6 grams of licorice root, 10 grams of Radix Curcumae, 10 grams of root of red-rooted salvia, 10 grams of Herba Lycopi, 10 grams of Sichuan chinaberry's son,
[Prevent and recuperate ]
Avoid getting drunk and eating and drinking immoderately, treat bile duct disease and ascariasis actively, if upper abdomen traumatism or operation is damaged, can employ and inhibit the enzyme active medicine of pancreas in early days if necessary.
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