A Clinical Study In Curing Non Bileduct Originated Severe Acute Pancreatitis Patients By The Method Of Abdominal Puncture And Drainage

Objective: To discuss the possibility and efficiency curing nonbileduct originated severe acute pancreatitis patients by the method ofabdominal puncture and drainage.Methods: Taking twenty non bileduct originated severe acutepancreatitis patients from2011to2012that were cured in China-Japanunion hospital, taken the method of abdominal puncture and drainage withthe help of the ultrasonics, retrospectively analyze the turnouts of thesepatients during the whole curing process and provide some new referencefor curing the this disease.Result: Abdominal puncture has been applied58times in these20patients without fail,40times due to acute fluid ooze and pancreaticpseudocyst, occupies68.9%;18times due to constant fever and symptomsof infection, occupies31.1%; the first puncture time was the hospitalityday1through8(occupies90.0%of all the patients),26piercing tubeswere placed on the first day (occupies44.8%of all the piercing tubes).Adjustments of these piercing tubes were taken120times,41times due toapparent fluid accumulation,44times due to apparent decrease in outletfluid amount,29times due to constant fever.14patients in this studygroup were suitable for abdominal drainage(occupies70.0%), obviousdecrease was noticed in the abdominal amylase and urine amylase whencompared between the value before and after the drainage, and it was also noticed that using vast amount of fluid in the abdomial drainage couldcontrol the symptoms of infection.31piercing tubes had been taken outwhen these patients were leaving hospital.Conclusion：1.Possible conditions that could consider takingabdominal puncture as follows: acute fluid ooze around pancreas with adiameter more than3cm and showing clinical symptoms at the same time;pancreatic pseudocyst with a diameter more than6cm and showingconpressing symptoms, constant enlargement of the pseudocyst orcombined with abscess around the pancreas.2.Apparent fluidaccumulation around the piercing tube, apparent decrease in outlet fluidamount and constant fever are the main reasons adjusting the piercingtubes.3.Normal saline are used in abdomial drainage(without applyingantibiotics), till the outlet fluid turns clear, applying this method1to3times every day with total normal saline amount of100through3000ml;control the fluid in getting into the abdomen slowly and get out rapidly,when the outlet fluid turns bloody,stop and observe.