CHARACTERISTICS AND RESULTS OF TREATMENT PATIENTS WITH SEVERE ACUTE PANCREATITIS PATIENTS ACCORDING TO CTSI AT BACH MAI HOSPITAL CRITICAL CARE CENTER

Quốc Chính Lương 1,2,3,, Anh Tuấn Nguyễn1,2
1 Bach Mai hospital
2 Hanoi medical university
3 VNU Hanoi-University of Medicine and Pharmacy

Main Article Content

Abstract

Objective: Assess the characteristics and results of treatment patients with severe acute pancreatitis to support treatment, prognosis process. Method: Descriptive study on 46 severe acute pancreatitis patients, who were diagnosed and classified by computed tomography with contrast and CTSI score. Patients were received treatment at Bach Mai hospital Critical care center from 2021 to 2022. Results: Average SOFA score is 7 ± 4, APACHE II is 11 ± 6. Necrosis under 30% rate is 45,6%, 30 – 50% is 26,1%, above 50% is 28,3%. 44 patients receive abdominal draninage from 1- 4 times, most received 1 or 2 time, 36,9% and 34,8%. 67,4% of patients do not need surgery. Patients with most time surgery is 3 times. 96% of patients receive prophylaxis antibiotic. Average treatment time is 22 ± 19 days. Mortality rate is 32,6%. Patients who have oral nutrition early and without infection have smaller mortality rate. Conclusion: Severe acute pancreatitis is a high mortality - rate disease, up to 30%. Most patients received abdominal drainage and prophylaxis antibiotics during treatment. Patients who have oral nutrition early and without infection have smaller mortality rate.

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References

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