Acute pancreatitis symptoms!

1. The main symptoms of abdominal pain (about 95% of patients) for more sudden abdominal or left upper abdominal pain or persistent pain-like knife cuts, Epigastric waist was belted flu, often occurring after a meal or drink, aggravated with intermittency, and enhanced by the consumption can be affected or total abdominal. Often both sides back to the left shoulder or the Department of Radiology. Site pain in the upper abdomen usually, as the main pancreatic inflammation, often in the right upper abdominal if pancreatic body, mainly Mei Yan, often in the upper abdomen and left upper quadrant. Sit-up or bend over in pain, ease forward. Sometimes alone morphine invalid, or if the merger cholelithiasis biliary ascariasis, there were right upper quadrant pain, Biliary Colic.
2. Nausea and vomiting 2 / 3 of patients have such symptoms, frequent seizures, early for reflection, says the Food and bile. Advanced is caused due to paralytic ileus, vomit for fecal samples. If vomiting roundworm, mostly with biliary ascariasis disease pancreatitis. The alcoholic pancreatitis in abdominal pain and vomiting often occurs when, the gallstone pancreatitis often abdominal pain and vomiting after.
3. Abdominal distention due to the severe abdominal effusions stimulus and retroperitoneal hemorrhage caused by paralytic ileus plot intestinal gas effusion caused abdominal distension.
4. Jaundice about 20% of the patients in the disease after 1 to 2 days varying degrees of jaundice. The reason may coexist for bile duct stones caused bile duct obstruction, or swelling of the distal common bile duct pancreatic oppression there jaundice or liver function impairment, the more severe jaundice, suggesting that the more serious the illness, poor prognosis.
5. Fever mostly moderate heat: 38 ° to 39 ° C, generally three to five days is gradually declining. But heavy sustainable for several days while the decline, suggesting that pancreatic infection or abscess formation, and to intoxication symptoms, the body temperature can be serious or not. Merger cholangitis they have chills, high fever.
6. Hand-foot-convulsion caused by the lowering of serum calcium. Enter the abdominal cavity of lipase, allowing greater omentum, the retroperitoneal adipose tissue was digested, decomposed into glycerol and fatty acids, calcium-binding for the latter and the fatty acid insoluble calcium and thus decrease serum calcium, such as serum calcium <1. 98 mmol / L (8mg per cent), suggested that serious condition, poor prognosis.
7. Acute hemorrhagic shock was particularly prevalent in necrotizing pancreatitis, abdomen, peritoneal exudate after massive bleeding, intestinal paralysis within effusion mesocaval, vomiting caused by loss of body fluids hemorrhagic shock. In addition absorb a large amount of protein decomposition products, resulting in the occurrence of toxic shock. The main performance, cold sweat, thirst, limbs Jueling, pulse fine, fast shallow breathing, blood pressure drop. In serious cases, there cyanosis, respiratory difficulties, delirium, coma, fast pulse, no blood pressure measurement, anuria, BUN> 100 mg%, renal failure, and so on.
8. Acute respiratory failure is the clinical characteristics of a sudden occurrence of respiratory distress, Hyperventilation, cyanosis, anxiety, sweating, and so on, the conventional oxygen therapy can not make it ease.
9 acute renal failure patients with severe acute pancreatitis were 23%, there will be acute renal failure, the mortality rate as high as 80 percent. Its causes and hypovolemia, shock and pancreatic bradykinin effects. Trypsin hemagglutinin caused abnormal, a hypercoagulable state, have microcirculation, leading to renal ischemia and hypoxia.
10 cycle of failure severe pancreatitis can cause heart failure and arrhythmia, which can be like myocardial infarction.
11 pancreatic encephalopathy rate of about 5.9% -11.9% showed abnormal nerve spirit, lack of orientation, mental confusion, accompanied by illusions, hallucinations, manic state, and so on. For too often, can return fully to normal, but also the spirit left over from the abnormal.