Aplicación del proceso de atención de enfermería en adulto de 21 años con pancreatitis aguda en el Hospital De Especialidades Abel Gilbert Pontón

There is talk of acute pancreatitis to the inflammatory process in the pancreatic tissue, whose exocrine function is to secrete the pancreatic juice, which contains enzymes in the form of zymogens, these are secreted from the wirsung duct to the first portion of the small intestine, the duodenum. The early activation of trypsin produces self-digestion of the pancreatic gland, giving rise to the inflammatory process. Depending on the severity, it can affect adjacent tissues and become very serious for the patient. The most common causes of this disease are related to the production of stones in the bile duct and the continuous consumption of alcohol. For the diagnosis of this disease is related to clinical manifestations abdominal pain nausea vomiting and in severe cases presence of periumbilical hematomas, diagnostic tests are performed amylase and lipase q must be elevated 3 times normal to have a relationship with the disease, ultrasounds and cholangiographies will help to confirm the disease. In the present article below, it is directed to a clinical case of acute pancreatitis, induced by residual choledocholithiasis in a 21-year-old patient with a history of cholecystectomy approximately one month after the event, who was admitted to emergency with abdominal pain, nausea, vomiting and general malaise, once entered, serum amylase and lipase tests were performed, which resulted in the elevation of the lipase 3 times above normal value, the treatment was liquid hydro, fasting and analgesic for the Recovery of the main affected organ was an endoscopic retrograde cholangiopancreatography, resulting in complete recovery of the patient.

• 主要作者: Castillo Sigüenza, Gabriel Samuel (author)
• 格式: bachelorThesis
• 語言: spa
• 出版: 2018
• 主題: coledocolitiasis residual; colangiopancreatografía
• 在線閱讀: http://dspace.utb.edu.ec/handle/49000/4464