158 Fatal pancreatitis

Hearing Lin Feng ask about the patient's condition, Huang Jiajun took a deep breath, and then said slowly in an extremely low voice: "The surname of the acute serious outbreak is pancreatitis!" ”

"What?" Lin Feng couldn't help but raise his eyebrows when he heard this, and his eyes became different when he looked at the patient on the bed.

In the case of the coexistence of a variety of organs in the abdomen, the heart is the most precious, and many heart disease patients have to suffer from heart diseases throughout their lives, because with current medical treatment, many heart diseases cannot be cured.

However, there are many types of heart disease, and most of the diseases that are difficult to cure are chronic diseases, although they cannot be completely cured, but fortunately, there are many drugs that can control the disease and alleviate or delay the progression of the disease.

The lungs supply the oxygen needed for breathing and excrete carbon dioxide, and lung diseases can be cured much better than those of the heart, and the prognosis is good.

As for those hollow organs, such as the stomach and intestines, most of the diseases can be overcome, even for advanced lesions, as long as the surgery is done well and the postoperative treatment is appropriate, the patient can survive for several years or even more than ten years.

The gallbladder and spleen are the easiest problems to solve, even if it is a school hospital in the local county, as long as there is no misdiagnosis, it is easy to remove a spleen or gallbladder in surgery.

The liver is the main organ of the whole body to store blood, and a simple traumatic rupture requires a few stitches, but if you encounter biliary tract disease or advanced liver cancer, then things are a little tricky.

Fortunately, in the research of biliary tract diseases in China, there is an academician named Huang Zhiqiang, who is known as the "father of biliary tract", and the research on biliary surgery can be said to be to the point of perfection, and in the world, it is also famous!

As for advanced liver cancer, the best thing to do is a liver transplant.

There is no doubt about the mature surname of liver transplant surgery, but there are many complications after surgery, which will not be mentioned here, and there will be a chapter dedicated to it later.

The rest is the pancreas. It can be said that the pancreas is the most precious organ in the whole abdomen, and if you are not careful, you will meet with death.

Whether it is trauma or pancreatitis, it is very troublesome to treat, and the main reason is that the pancreas secretes pancreatic juice, which is extremely corrosive, and if it is stained with a little, tissues and organs such as blood vessels may be corroded and ruptured, and eventually lead to hemorrhage and death.

The acute and severe outbreak surnamed pancreatitis is the top priority, and the patient may die at any time!

However, the acute surname is a severe outbreak, and the surname pancreatitis cannot be operated, and the pancreas is surrounded by edema and inflammation, how to operate? Blind laparotomy can only aggravate the loss of the pancreas, and the consequence is often to accelerate the patient's death.

The only treatment measure is to use conservative treatment in internal medicine and external means to help the patient get through the initial dangerous period in the initial stage of the outbreak of pancreatitis, and then after the local necrosis and wrapping of the pancreatic inflammation, laparotomy is performed to remove the necrotic tissue according to the situation, or under the guidance of CT or ultrasound, puncture and visual drainage are performed to drain out the necrotic wrapped tissue.

It's easy to say, but it's extremely difficult to do.

Take the initial conservative treatment as an example, some experts and scholars advocate that low nutrition should be given in the early stage, which can maintain the patient's own consumption, so as to avoid excessive secretion of pancreatic juice by the pancreas and increase the burden on the pancreas.

Another point of view is that in the early stage, we must give enough nutrition, so that the body's resistance will be strengthened, and the body will have enough ability to fight inflammation.

The two points of view have their own reasons and are deadlocked, which also brings great trouble to the treatment of acute and severe outbreaks surnamed pancreatitis in the early stage.

Surgery and puncture drainage also require a lot of experience. The puncture time is early, and the necrotic tissue that is confined to the package is not completely liquefied, and the significance of surgery or puncture no longer exists.

When the timing is over, a large amount of liquefied necrotic tissue is absorbed into the bloodstream, leading to bacteremia and even sepsis, which brings more trouble to the treatment!

These are just the problems of treatment, and there is another problem for the patient's family: money!

Sick and cured, but it costs money, for the most ordinary people, after several years of hard work, there are only tens of thousands of savings, those who often have millions of people are a minority after all, and people with shit luck like pig's feet Lin Feng basically do not exist, so the problem arises!

In the process of treatment, as long as the patient does not die, the cost of the entire treatment will be at least 500,000 yuan!

This is definitely not alarmist, but real data, there are many patients who cost **100,000, millions of patients have also treated several people, and in the end, some of these people survived, and some of them were empty.

This money, for ordinary people, is tantamount to astronomical sums, many family members sell their houses, borrow money everywhere, and also have to treat patients, these people are still rich to raise.

However, there are still some people who can only watch the patients suffer from the pain, and finally they are unable to treat, tearfully taking the patients back to the small hospital in their hometown to wait for death.

It is miserable, needless to say.

It can be seen that the severity of the acute outbreak of pancreatitis is so great that even domestic experts and scholars specializing in pancreatic diseases are at a loss and unable to do anything about it.

"When did the patient become ill?" Lin Feng couldn't help but sigh when he heard this, and then asked.

Huang Jiajun didn't think about it, and immediately said: "I was sent to the emergency department the day before yesterday, but at that time, I just said that it was pancreatitis, and there was no bed in the gastroenterology department, so I went to the general surgery department." ”

Lin Feng nodded when he heard this, remembering what Shen Congwen said the day before yesterday, there was a patient with pancreatitis who was admitted to the general surgery department, and he thought it was this person.

Pancreatitis has always been a marginal discipline, which can be treated by gastroenterology and hepatobiliary surgery.

However, the Department of Gastroenterology can only treat pancreatitis with mild disease, and pancreatitis with severe disease or outbreak or both, but it can only be treated by surgery.

"What is the trigger for this patient?" Lin Feng didn't think much about it anymore, and then asked!

Huang Jiajun smiled bitterly when he heard this, and said: "According to the patient's wife, she had eaten seafood and drank alcohol before the onset of the disease, and then she began to have abdominal pain. ”

"Seafood?" Lin Feng couldn't help but be shocked when he heard this! A terrible thought came to me!

(To be continued)