CẬP NHẬT CHẨN ĐOÁN VÀ ĐIỀU TRỊ VIÊM TỤY CẤP THEO ACG 2024=Updated Diagnosis and Treatment of Acute Pancreatitis According to American College of Gastroenterology 2024

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Nhung Nguyễn Huyền

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học và công nghệ - Trường Đại học Thành Đông, 2024

Mô tả vật lý: tr.95

Bộ sưu tập: Metadata

ID: 482329

Thêm vào giỏ

Acute pancreatitis (AP), defined as acute inflammation of the pancreas, is one of the most common gastrointestinal conditions leading to hospitalization in the United States. The course of the disease can vary from patient to patient and is often unpredictable. While most patients have mild pancreatitis and can be treated and stabilized within a few days, nearly 20% of patients may develop complications, including pancreatic necrosis and/or organ failure, sometimes requiring prolonged hospitalization, intensive care, surgery, or endoscopic intervention. Early treatment and close follow-up are essential to prevent complications from pancreatitis. Patients with gallstone pancreatitis will often require cholecystectomy to prevent recurrence and may require early endoscopic retrograde cholangiopancreatography if acute pancreatitis due to common bile duct stones is present. Antibiotics are an important part of the treatment of infectious necrotizing pancreatitis along with debridement of the necrotic foci. The antibiotics chosen must be able to penetrate the necrotic area, such as carbapenems, quinolones, cephalosporins, and metronidazole... Nutrition plays an important role in the treatment of patients with acute pancreatitis. Early refeeding is safe and important in preventing complications caused by acute pancreatitis.Viêm tụy cấp (Acute pancreatitis - AP), được định nghĩa là tình trạng viêm cấp tính của tuyến tụy, là một trong những bệnh phổ biến nhất về đường tiêu hóa dẫn đến nhập viện ở Hoa Kỳ. Bệnh có thể tiến triển khác nhau giữa các bệnh nhân và thường khó có thể tiên lượng trước được. Trong khi hầu hết bệnh nhân là viêm tụy thể nhẹ và có thể điều trị ổn định sau vài ngày, gần 20% số bệnh nhân có thể gặp các biến chứng, bao gồm hoại tử tuyến tụy và/hoặc suy nội tạng, đôi khi cần phải nằm viện kéo dài, chăm sóc đặc biệt, phẫu thuật hoặc nội soi can thiệp. Điều trị sớm và theo dõi sát là điều cần thiết để ngăn ngừa các biến chứng do viêm tụy. Bệnh nhân bị viêm tụy do sỏi mật thường sẽ cần phẫu thuật cắt túi mật để ngăn ngừa bệnh tái phát và có thể cần nội soi mật tụy ngược dòng sớm nếu có viêm tụy cấp do sỏi ống mật chủ. Kháng sinh là một phần quan trọng trong điều trị viêm tụy hoại tử nhiễm trùng cùng với việc cắt bỏ ổ hoại tử. Kháng sinh được chọn phải có khả năng xâm nhập vào vùng hoại tử, chẳng hạn như carbapenem, quinolone, cephalosporin và metronidazole... Dinh dưỡng đóng vai trò quan trọng trong điều trị bệnh nhân mắc bệnh viêm tụy cấp. Việc cho ăn lại sớm là an toàn và quan trọng trong việc ngăn ngừa các biến chứng do viêm tụy cấp gây ra.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR