Mr. Yuan, who lives in Shenzhen, has never had the habit of physical examination. When he is busy at work, he is also used to getting together with friends for barbecue and drinking after work to relieve the pressure of work at the end of the day. But after eating barbecue for a long time, his weight has dropped by more than 20 kilograms instead of increasing. One night in July, after work, Mr. Yuan found a barbecue shop to eat barbecue and drink beer as usual.
But soon after eating, Mr. Yuan developed fever and abdominal pain. At first I thought it was just ordinary gastroenteritis. Mr. Yuan ignored it and went home to lie down. However, after lying down for a while, the pain in the back began to be unbearable. He realized that the condition might not be that simple, so he went to the emergency department of Longhua District People's Hospital for treatment.
By asking about the condition, the emergency department and hepatobiliary surgeons of Longhua District People's Hospital concluded that Mr. Yuan's stomach might be an attack of acute pancreatitis, and the emergency improvement of abdominal ct and blood test also confirmed the doctor's inference.
The blood drawn from Mr. Yuan's blood vessels has turned milky white, like milk, as if red blood cells have disappeared, leaving only fat in the blood vessels. The doctor gave him emergency rehydration to inhibit pancreatic enzyme secretion, but Mr. Yuan's symptoms did not ease. At this time, his heart rate has reached 140 beats/min, and his PH has dropped to 7. 18. The acidosis was very obvious and was transferred to ICU urgently.
The ICU owner has noticed that Mr. Yuan has lost more than 20 kilograms in recent years, and his mouth is often dry. These are typical symptoms of diabetes. Mr. Yuan's acidosis, which is difficult to correct, is probably due to his complicated diabetic ketoacidosis. While actively treating pancreatitis, he also needs to actively control blood sugar and replenish fluids.
In addition to routine drug treatment, ICU started blood purification treatment for Mr. Yuan's cholesterol as high as 49.59mmol/L and triglyceride as high as17.93 mmol/L. After plasma exchange and hemodialysis treatment, Mr. Yuan's blood lipid quickly fell to the normal range, abdominal pain and bloating were also relieved, blood sugar was normal, and the whole person's mental state was much better. Three days later, Mr. Yuan was out of danger and transferred out of ICU.
Etiology of acute pancreatitis
1, hindering factors
Bile reflux is caused by biliary ascaris and stones incarcerated in Vater ampulla and duodenal papilla stenosis. For example, the lower end of the bile duct is obviously obstructed, the pressure in the bile duct is very high, and high-pressure bile flows back to the pancreatic duct, which leads to the rupture of pancreatic acinus, and pancreatin enters the pancreatic stroma, resulting in pancreatitis.
2. Alcohol factor
Long-term drinkers are prone to pancreatitis. On this basis, when they drink a lot and overeat, they promote the secretion of pancreatic enzyme, which makes the pressure in the pancreatic duct suddenly rise, ruptures the pancreatic vesicles, and pancreatic enzyme enters the interstitial space between acinar cells, causing acute pancreatitis. Intake of alcohol and high-protein and high-fat food at the same time will not only increase pancreatic enzyme secretion, but also cause hyperlipidemia. At this time, pancreatic lipase decomposes triglycerides, releases free fatty acids and damages the pancreas.
3. Vascular factors
Acute embolism and obstruction of pancreatic arterioles and veins lead to acute pancreatitis; Another factor is based on pancreatic duct obstruction. When the pancreatic duct is blocked, the high pressure in the pancreatic duct passively "infiltrates" pancreatin into the matrix. Due to the stimulation of pancreatic enzyme, lymphatic vessels, veins and arteries in the stroma are embolized, and then ischemic necrosis of the pancreas occurs.
4. Trauma
Pancreatic trauma causes pancreatic duct rupture, pancreatic juice overflow and insufficient blood supply after trauma, leading to acute severe pancreatitis.
5, infection factors
Acute pancreatitis can cause various bacterial and viral infections. Viruses or bacteria enter pancreatic tissue through blood or lymph, causing pancreatitis. Generally speaking, this infection is simple edematous pancreatitis, and hemorrhagic necrotizing pancreatitis is rare.
6. Metabolic diseases
It can be related to diseases such as hypercalcemia and hyperlipidemia.
7. Other factors
Such as drug allergy, hemochromatosis and heredity.
Refer to the above? Light. Com- Long-term "beer plus barbecue", a man's blood in Shenzhen turned milky white.