Acute pancreatitis in children

Acute pancreatitis in children's disease overview

Acute pancreatitis in children is a phenomenon of pancreatitis in children that cause cystic cell damage due to the destruction of enzymes. Children's pancreas play an extremely important role, which is to release enzymes that help digest sugars, protein and fat from food in the body.

Symptoms of Acute pancreatitis in children's disease

The causes of acute pancreatitis in children are:

Causes of viral infection.

Causes of injury. Causes of gallstones, bile mud stones, bile ducts

Causes of use of drugs such as: Valproic Acid, Azathioprin ...

Causes of systemic diseases, metabolic disorders.

Causes due to mutations.

People at risk for Acute pancreatitis in children's disease

Symptoms acute pancreatitis in children include:

Pain: Sudden pain (in case of severe physical pancreatitis) after a hearty or increasing meal (mild acute pancreatitis), pain in the upper abdomen or The upper left abdomen, can spread behind. Pain time may last for a few days. The pain usually occurs or increases gradually when eating and lying on your back.

Nausea

Fever, body chills.

tired

Abdominal, sensitive when touching.

Tachycardia

Cases of acute pancreatitis in children with severe children may have an infection: the expression of infection such as fatigue, lingering, dry lips, dirty tongue. In addition, severe illness may also have a sign of dehydration such as dry lips, a lot of thirst, sunken eyes. Or the patient will have symptoms of low blood pressure, if excessive low blood pressure will lead to shock decrease in volume, manifested as cold limbs, very low blood pressure, fast pulse.

Patients may have respiratory failure: tiredness, shortness of breath, spo2 decreases

Purple patient's skin around the navel, called Cullen, or blue -purple blue is the Gray Turner mark when pancreatitis is dedicated.

Pleural effusion.

Diagnostic measures for Acute pancreatitis in children's disease

To accurately diagnose acute pancreatitis in children , it is necessary to rely on clinical examination and subclinical results:

Clinical diagnosis of acute pancreatitis in children:

Pressing epigastric pain, spreading behind the back

Examination of intestinal peristalsis or intestinal paralysis.

jaundice in spontaneous pancreatitis or pancreatitis caused by stones.

For patients with severe illnesses:

Patients with expression of infection: fatigue, dry lips, dirty tongue

Patients with loss of water: much thirst, sunken eyes, dry lips.

Patients with signs of decrease in volume: cold limbs, low blood pressure, fast pulse

Respiratory failure such as fatigue, shortness of breath, spo2 decreases

Examination of intestinal peristalsis or intestinal paralysis.

jaundice in spontaneous pancreatitis or pancreatitis caused by stones.

Purple blue skin around the navel or hip area

Pleural effusion

Subclinical tests diagnosed with acute pancreatitis: Dengue pancreas.

Amylase/blood tripled normal value, maximum increase and exist in 3-5 days.

Amylase/urine increases, with gas no more than 3 times compared to normal value and exists more than 2 weeks

Lipase/blood tripled with normal value: this index has a higher specificity than amylase/blood.

Making ions, blood gas, blood sugar, urea/blood, creatinine/blood, triglyceride, LDH to check for severe diseases.

Hematoma is indicated if there is an infection or a sign of pancreatic necrosis

Abdominal ultrasound for diagnosis and prognosis.

X-ray is not prepared to distinguish from intestinal obstruction, perforation.

Acute pancreatitis in children's disease treatments

Principle of treating acute pancreatitis:

Treatment according to the cause of the disease.

Water compensation, alkaline balance adjustment.

Ensuring nutrition for patients.

Surgery for patients if needed.

Prevention and treatment of local complications and systemic complications.

Measures to treat acute pancreatitis in children:

Anti -shock for serious illness.

Pain relief

Put the tube in the stomach to suck the fluid.

look absolutely, can be appointed to order stomach sonde to feed.

Compensation

Adjustment of alkaline balance, electrolytes

Antibiotic use.

Anti -acid.

Surgical cases:

Genius pancreatitis has more vomiting, bloating, abdominal pain, an infected face

Pancreatic abscess is larger than 3cm

Bleeding pancreatitis.

There are fake pancreatic follicles that increase in size quickly or larger than 5cm or exist for more than 4 weeks.

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