Acute cholecystitis and acute pancreatitis, causes, symptoms, first emergency medical care.

Acute cholecystitis is an inflammation of the gallbladder. Mostly this disease affects women. Acute cholecystitis develops more often with a gross violation of the diet – abuse of fatty, spicy, fried, salty and smoked foods. 

Acute cholecystitis, its symptoms.

Often, acute cholecystitis is accompanied by severe dull pain in the upper abdomen on the right, in the umbilical region on the right. There are signs of inflammation in the form of a sharp increase in body temperature to 39–40 degrees. In the early period of the disease, the restriction of the mobility of the abdominal wall during breathing is determined. Then – protective tension of the muscles of the abdominal wall, often in the right half of the abdomen. Subsequently, yellowness of the skin and mucous membranes appears.

. Due to reflex irritation of the diaphragm, an obsessive prolonged hiccup.

One of the main signs of pancreatitis is nausea and vomiting – painful, frequent, not bringing relief. The patient’s face is pointed. Marked pallor and sometimes blueness of the skin and mucous membranes are observed. Very often with pancreatitis, jaundice appears. At the beginning of the disease, the pulse is within normal limits, and then it becomes more frequent, blood pressure decreases.

First aid for acute pancreatitis.

In acute pancreatitis, the patient must be hospitalized in the surgical department. First aid should be aimed at reducing pain and normalizing blood pressure. Anesthetics and antispasmodics are administered intramuscularly or intravenously (2-4 ml of a 2% solution of papaverine hydrochloride, 0.2% solution of platifillin hydrotartrate, 2% solution of drotaverine hydrochloride, 50% solution of sodium metamizole).

Additional transportation of the patient is injected subcutaneously with 0.3–1 ml of a 0.1% solution of atropine sulfate. During transportation, albumin, reopoliglyukin, hemodesis and others begin to be administered intravenously dropwise. If necessary, cardiac drugs (cordiamine, sulfocamphocaine), as well as drugs that stimulate breathing, are prescribed. More often pancreatitis is treated with medication. Surgical treatment is carried out with signs of necrosis of the pancreatic tissue or gall bladder, with an increase in symptoms of peritonitis, purulent pancreatitis.

Based on the book “Quick help in emergency situations”.
Kashin S.P..

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