Đánh giá kết quả chăm sóc người bệnh viêm tụy cấp tại Bệnh viện Trung ương Quân đội 108

Abstract

Objective: To describe some clinical and laboratory features; to evaluate the results of caring for patients with acute pancreatitis. Subject and method: A cross-sectional study of 180 patients diagnosed with acute pancreatitis and treated at 108 Military Central Hospital between October 2020 and July 1998 10/2020 to 7/2021. Result: The most common cause of acute pancreatitis was alcohol-related, accounting for 41.67%. Several Ranson scores were re-evaluated 48 hours after admission. Acute pancreatitis with pancreatic lesions on computed tomography according to Balthazar's assessment at levels B, C, D in which level B accounted for the highest rate, accounting for 22.78%; There were no patients with lesions at E level. Necrosis of one third of the pancreas accounted for 10.56%; Unknown complications accounted for 26.11%. The average treatment time was 7.17 ± 4.45 days; Complications encountered: 4.44%. 100% of patients were monitored for pulse, temperature, blood pressure. Basic care and monitoring activities accounted for the largest percentage of drug distribution and drug delivery according to medical orders; 100%; Among the contents of health counseling and education, the content of guidance on drug use and treatment adherence, and follow-up examination accounted for the highest percentage of 100%, the lowest content was counseling on disease status, psychological care, patient reassurance accounted for 73.89%. Conclusion: Drinking alcohol regularly is one of the causes of acute pancreatitis. Some common symptoms of acute pancreatitis: epigastric abdominal pain, nausea and vomiting. 100% of patients were monitored pulse, temperature, blood pressure, disseminated hospital admission rules, instructions on drug use, adherence in treatment and follow-up examination.