Why was the 25-year-old man admitted to the ICU?

The 25-year-old guy eats takeout every day! 107 days of ICU rescue! Lost 90 pounds suddenly...

At a dinner party, 25-year-old Xiaochuan (pseudonym) suddenly suffered from acute severe pancreatitis and spent 107 days in the hospital ICU, during which he underwent 5 major and minor surgeries.

A month and a half ago, he was transferred to the general ward of the Department of Hepatobiliary and Pancreatic Surgery for follow-up treatment and will be discharged soon. Looking back on his experiences over the past five months, Ogawa felt pain and regret: "I didn't take my body seriously." He hoped that his lessons could remind other young people with similar situations. After all, without health, How to work hard?

The 25-year-old boy ate takeout every day, and his weight soared to 210 pounds

Xiao Chuan is from Anhui. I came to Ningbo two years ago to work in sales. I usually work very hard and often miss meals due to work. Not only are the three meals irregular, but most of my meals are takeaways. Sichuan cuisine, Hunan cuisine, Quzhou cuisine, these dishes with heavy oil and salt are his favorites. "In a day, I sometimes don't bother to eat breakfast, I also eat lunch casually, and I eat the most dinner and midnight snacks," Ogawa said.

Ogawa is originally a person in the fat industry. After eating takeaways for two years, he weighs 210 pounds at a height of 178 centimeters and has a BMI of 33, which means he is obese. Ogawa knew that obesity was bad, but he didn't take it seriously. Exercise and diet were not among his considerations.

Ogawa weighed 210 pounds before the onset of the disease

It was more than five months ago that he was admitted to the hospital due to a sudden severe illness. On January 24, Xiaochuan had a dinner with his classmates, and they ate and drank heavily. At first I just felt bloated, but then I started having abdominal pain when I got home late at night. He put a hot towel on his abdomen and lay down to rest. I stayed up until 6 a.m. the next morning, when my abdominal pain worsened, I broke out in a cold sweat, and I felt nauseated. Feeling inconvenient, he took a taxi and went to the emergency department of Li Huili Hospital of the Municipal Medical Center for treatment.

When he walked into the emergency room, Xiaochuan could no longer stand, had difficulty breathing, and his face turned pale. He was immediately sent to the emergency room. Although it had been several months, the medical staff in the emergency department still had some impression of Ogawa. "This patient is young, but the blood drawn out is full of white grease!" a nurse recalled. ?The tests at that time showed that Ogawa's blood amylase was seriously exceeded, and his blood lipids were as high as 16.2mmol/L, while the normal value should not exceed 1.7mmol/L. The CT results showed acute pancreatitis and fatty liver. In addition, there are multiple organ failures such as liver and kidney insufficiency. "

Acute pancreatitis combined with multiple organ failure is clinically called severe pancreatitis. The disease progresses very quickly and the mortality rate is also high.

For this reason , the emergency department medical staff immediately called the critical care physician for consultation.

107 days of ICU rescue and 5 major surgeries

Ogawa was admitted to the ICU that day. In the intensive care unit, he received a series of treatments including fasting, fluid rehydration, somatostatin, and analgesia. However, his condition rapidly deteriorated, his breathing became increasingly difficult, his heartbeat was rapid, his stomach was bulging, and he was unable to urinate. Although he was conscious, he could not continue to breathe. I had no strength to move my fingers. Symptoms of blood electrolyte imbalance and acid-base imbalance soon appeared, and the degree of multiple organ failure also worsened. The doctor issued a critical illness notice and implemented bedside continuous hemodialysis treatment. , to help him remove excess lipids and metabolites from the blood.

Some of Ogawa’s cases

“It is a pity that he is so young and must be rescued with all his strength. "The director and chief physician of ICU, Jin Yuhong, and all the medical staff have the same idea. To this end, the Department of Critical Care Medicine has teamed up with experts from the Department of Surgery, Gastroenterology, Imaging, Nephrology and other departments to conduct multidisciplinary consultations (MDT) many times. They paid close attention to Xiaochuan's condition and adjusted the treatment plan many times. A month later, after rehydration and volume expansion, continuous hemodialysis and other treatments, Xiaochuan was temporarily out of danger. However, he and the medical staff still faced many difficulties. Challenge. “The pancreatic necrosis was too severe to be absorbed by itself and surgery was necessary. "Li Gencong, director and chief physician of the Department of Hepatobiliary and Pancreatic Surgery who participated in the joint diagnosis and treatment, said, "But the operation is another trauma for the patient, the risk is extremely high, and it requires the cooperation of doctors from multiple departments. ”

On February 28, Xiaochuan underwent his first surgery. Several experts worked together to remove necrotic tissue from his body. As expected, a large amount of purulent material adhered to the pancreas, abdominal wall, and kidneys. , unable to distinguish tissues and organs.

The operation took more than 5 hours. Due to the large area of ??necrosis in the lesion, its deep location, and severe adhesion to the intestine, Ogawa underwent three more laparoscopic debridement surgeries and a colostomy surgery in the next two months.

Every time he underwent an operation, several drainage tubes were added to Ogawa's body in order to enhance the drainage of pus in the abdominal cavity. At most, he had seven or eight tubes inserted into his abdomen, and he had repeated high fevers. , the wound was in severe pain, and the doctors in the ICU spent several hours every day just changing dressings. They repeatedly flushed the pipes and tried to drain the wound as quickly as possible so that Xiaochuan's body temperature could return to normal.

On May 20, Ogawa's condition stabilized and he was transferred to the general ward. After this life and death battle, his weight dropped sharply, down to 120 pounds. Next, he will need another enterostomy surgery. Doctors expect that he will be discharged from the hospital soon.

Ogawa now weighs only 120 kilograms

In recent years, more and more patients with pancreatitis have suffered from pancreatitis

This catastrophe has cost the Ogawa family The medical expenses of 150,000 yuan are quite a burden for an ordinary family. After recovery and discharge, his body was unable to recover to its pre-disease condition due to the huge damage. Moreover, pancreatitis is easy to relapse, which means that Xiaochuan will no longer be able to eat freely in the future.

So, what kind of disease is pancreatitis?

Severe acute pancreatitis is an acute abdomen with dangerous conditions, many complications, and a high mortality rate. The mortality rate is 20%. The mortality rate of this patient with complications can be as high as 50%. . ”

Jin Yuhong, director and chief physician of ICU, revealed that Xiaochuan is the eighth patient with severe acute pancreatitis admitted to the department this year. These eight patients are almost young adults, and they all have long-term greasy diet and obesity. "Most of these patients suffer from severe acute pancreatitis with hyperlipidemia. This disease is caused by high triglycerides in the body. Most of the high levels of triglycerides in humans come from eating. "

Dr. Jin said that the pain caused by acute pancreatitis is very severe: "This is the result of the pancreatic juice's own digestion of the pancreas and its surrounding tissues. It is equivalent to the internal organs being gradually 'eaten' by itself. Can it be pain-free? ? ”

Normal people’s pancreatic juice will not digest itself in the body. Because there is a protective layer on the surface of the pancreatic duct, pancreatic enzymes have not yet formed and are not so lethal. However, the above-mentioned defensive functions When it is damaged, it will cause mild or severe pancreatitis.

Pancreatitis is most likely to find two types of people. One is those who have biliary tract disease, which is clinically called biliary pancreatitis. Second, like Xiaochuan, poor diet can lead to gastrointestinal dysfunction, which in turn can lead to pancreatitis. In recent years, the proportion of the latter has increased. For this reason, Dr. Jin suggested. The general public should eat a combination of meat and vegetables, avoid eating foods high in fat and cholesterol, and avoid overeating.

Source: Shanghai Hotline