ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ VIÊM TỤY CẤP NẶNG TẠI BỆNH VIỆN HỮU NGHỊ ĐA KHOA NGHỆ AN

Abstract

Objective: Describe the clinical and paraclinical characteristics and treatment resultsof of patients with severe acute pancreatitis at the Intensive Care Department of Nghe An Frendship General Hospital. Subjects and methods: Retrospective descriptive study analyzed 31 patients diagnosed with: Severe acute pancreatitis according to Alanta 2012 criteria, hospitalized and treated at the Intensive Care Department of Nghe An Frendship General Hospital from january to august 2023. Results: The average age of the study group was 48 ± 13.36 years old. Clinical: abdominal pain: 100%; vomiting: 90.3%; increased abdominal pressure: 83.9%. Paraclinical: Amylase increased ≥240 mmol/l, accounting for 77.4%; Blood triglycerides increased ≥ 11 mmol/l, accounting for 51.6%. CTSI score: 0 - 3 points: 29%; 4 – 6 points: 51.6%; 7 – 10 points: 19.4%. APACHE II score in survival group: 10 ± 5.3; death group: 20.4 ± 6.2; p < 0.01. Alcohol causes: 29%; increased triglycerides: 77.4%; Gallstones: 6.5%. Treatment: 100% optimal fluid replacement, antibiotic use: 80.1%, abdominal fluid drainage: 58.1%, Continuous Renal Replacement Therapy: 38.1%. Treatment results: cured: 83.8%, death: 16.2%. Conclusions: The most common symptoms of severe acute pancreatitis are abdominal pain and increased blood amylase. Abdominal computed tomography and APACHE II score are valuable in diagnosis, treatment, and prognosis of inflammation severe acute pancreatitis. Treatment is multimodal, combining many measures: optimizing fluid replacement, antibiotics, dialysis...