The West Hospital has multi-disciplinary cooperation in the treatment of patients with severe pancreatitis

In the early morning of recent days, the SICU of the West Branch of Beijing Chaoyang Hospital (hereinafter referred to as Chaoyang Hospital) affiliated to Capital Medical University received a request for consultation from the Department of Gastroenterology, and a patient with hyperlipidemia with severe pancreatitis suddenly deteriorated, with multiple organ failure manifestations such as shock, anuria, anemia, abdominal hypertension, and hypoxia, and Wang Jing, the doctor on duty at SICU, responded quickly and transferred the patient to SICU.

At the time of admission, the patient has extreme abdominal bulge, CT can see a huge pancreatic pseudocyst, peripheral oxygen saturation is only 80%, blood pressure is as low as less than 80/50 mmHg, hemoglobin is only 6g/L, anuria, hyperkalemia, acidosis, high lactate. Considering that the patient has secondary infection with necrotic tissue around the pancreas, combined with intraperitoneal hemorrhage, hemorrhagic shock, has affected multiple organ functions, is at great risk, and cannot tolerate immediate surgical treatment, the requirements for organ function support are extremely high. SICU physician Zhang Jin took the initiative to ask for help, from his home in the East Fourth Ring Road overnight rushed to the department to assist in rescue, deputy chief physician Zhao Song guided the rescue process, until the patient's condition was initially stable.

In the early morning of the second day, Zhao Song, together with Sun Wenbing, director of the Department of Hepatobiliary, Pancreatic and Spleen Surgery of the West Hospital, and Shang Zhanmin, director of the Department of Gastroenterology, jointly formulated a further treatment plan. Sun Wenbing performed open abdominal exploration for patients and cleaned up old blood clots during surgery, laying a solid foundation for further treatment. After returning to the SICU ward after surgery, Zhao Song relied on his rich clinical experience to formulate a meticulous treatment plan for patients. Continuous bedside hemofiltration, invasive hemodynamic monitoring, bedside severe ultrasound, pulmonary resonatory, coagulation disorder regulation, joint sequential nutritional support strategies, etc., sicu team with skilled medical and nursing technology, to help patients turn critical, 3 days after the patient's kidney function began to recover, 4 days after the successful withdrawal, 5 days to remove vasopressor drugs, 7 days to start eating. After the patient's organ function stabilized, he was transferred to the general ward of hepatobiliary surgery and has been successfully discharged from the hospital.

The successful treatment of this case reflects the strong organ function support ability and teamwork spirit of the West Hospital SICU, and the multidisciplinary collaboration ability of the West Hospital of Chaoyang Hospital.

Since its establishment, SICU has been established for more than 1 year, and more than 500 critically ill patients have been treated, and SICU will continue to wholeheartedly escort critically ill patients in the surgical department of The West Hospital and provide a strong guarantee for the further development of the surgery of Chaoyang Hospital.