Let's sing together,
To use Cantonese yo:
"Whoever is playing with indulgence is a song broken by the esophagus
The pancreas is painful in the body, and I can see through the end
Late at night in the emergency room I push you through
Years of excessive drinking, even health is silent
......”
According to experts from the emergency department of West China Hospital of Sichuan University, every Spring Festival, many patients with acute pancreatitis caused by eating (drinking) ha (violent) and drinking alcohol (some of them are very dangerous severe acute pancreatitis), as well as patients with ruptured esophagus caused by drinking and vomiting, no matter which, are very dangerous and life-threatening!
What is pancreatitis? What is pancreatit ？
Pancreatitis is a disease of the pancreas caused by the self-digesting effects of trypsin. To put it bluntly, the pancreas is inflamed. At present, there are two main categories of pancreatitis: acute pancreatitis & chronic pancreatitis. Since most people's pancreatitis attacks are acute, plus chronic pancreatitis can also be acute, so West China experts focus on acute pancreatitis.
Acute pancreatitis
Acute pancreatitis is a common acute abdomen in general surgery, and the main symptoms are sudden epigastric severe pain, nausea, vomiting, fever, etc. Depending on the severity, the disease is clinically divided into mild, moderate, and severe:
Mild acute pancreatitis is mainly based on pancreatic edema, which is a self-limiting disease, generally symptomatic treatment, 1 to 2 weeks can be recovered.
Moderate severe and severe acute pancreatitis are much more serious, especially severe diseases, and other organ failures will soon occur in the early stages, and the case fatality rate is as high as 50%.
What factors can cause acute pancreatitis? What will cause pancreatit ？
The pancreas is the digestive organ of our body, although it is small, but the role is very large, the pancreatic juice secreted by the pancreas contains a large number of digestive enzymes, which play a major role in the process of food digestion. When there are some special conditions in the digestive system, digestive enzymes can go wrong, leading to pancreatitis. What counts as [special cases]?
First, biliary tract diseases
Gallstones are the most common cause of pancreatitis in our country, accounting for 50% to 60% of the overall causes of pancreatitis. When obstruction such as stone incarceration occurs at the lower end of the common bile duct, bile may flow backwards into the pancreatic duct, causing varying degrees of damage to pancreatic tissue, also known as biliary pancreatitis.
Second, overeating, excessive alcohol consumption
Overeating and drinking to make themselves into acute pancreatitis of this type of patient, every year during the Spring Festival West China Hospital emergency department to receive a lot! First of all, chopsticks only sandwich meat, full or stuffed into the mouth, stomach, intestines can not stand, high fat, high protein things in a short period of time to eat too much, surely the whole body will have a reaction, if you add high blood lipids, it is even more dangerous!
So:
Gastrointestinal dysfunction + hyperlipidemia bile and pancreatic fluid can not be drained normally = acute pancreatitis!
Secondly, the matter of drinking alcohol must be said separately, excessive alcohol consumption can really lead to acute pancreatitis. Alcohol not only directly damages pancreatic cells, but also indirectly stimulates pancreatic juice secretion, causes duodenal papilledema, and hinders pancreatic juice and bile drainage caused by pancreatitis, which is also called alcoholic pancreatitis.
Third, obesity and hyperlipidemia
As a chronic inflammatory disease, obesity is also prone to pancreatitis. In particular, abdominal obesity is an independent risk factor for acute pancreatitis, not only is it more likely to develop the disease than others, but the inflammatory response is more intense after the onset of the disease, the organ damage is more serious, the complications are more, and the case fatality rate is higher. It is understood that in our country, 70% to 80% of severe acute pancreatitis is caused by gallstones, overeating, hyperlipidemia and alcoholism.
Fourth, smoking
Smoking will promote the secretion of toxic substances such as nicotine to the bile ducts, and then regurgitate into the pancreatic ducts; it will also enter the pancreas with blood, mainly gathering in the pancreas, inducing chronic inflammation.
Fifth, other factors
Car accidents, diabetes, viral infections, drug factors, hypercalcemia, and increasing gestational pancreatitis can all cause pancreatitis.
How to prevent pancreatitis? How to prevent pancreatit ？
West China experts give the following four suggestions:
1. Regular physical examination, grasp the biliary tract diseases, blood lipids;
2, reasonable diet, do not overeat, do not drink excessively;
3. Weight loss.
4. Quit smoking
"It's the New Year, so I can't help but have a few more drinks with my friends and relatives, and if I drink too much, I can't vomit a few times, and then I'll wake up, as for coming to the hospital?"
Huaxi experts said, old iron, you are obviously wrong in this statement! After drinking too much alcohol to cause vomiting, it is not the more you vomit, the more sober, but the more you vomit, the more you hurt your body, and even some people vomit to the rupture of the esophagus, if you do not rush to the hospital, there may soon be a big problem!
1. Why does severe vomiting cause esophageal rupture when severe vomiting will cause ER?
To explain this problem clearly, West China experts first introduce the four types of esophageal rupture:
Category I: foreign body esophageal rupture
For example, when you are usually stuck by fish spines, and swallow sharp foreign bodies such as chicken bones and dentures by mistake, it may cause the foreign body to directly pierce or compress the wall of the esophagus, so that the esophagus necrosis is perforated.
Category II: traumatic rupture of the esophagus
Such as knife stabbing, etc.
Category III: iatrogenic esophageal rupture
Such as doing esophageal endoscopy, esophageal stenosis dilation, esophageal lumen built-in tubes, etc. caused.
Category IV: Spontaneous esophageal rupture
Spontaneous esophageal rupture is mainly caused by vomiting, but this vomiting is not the occasional stomach is a little uncomfortable kind of vomiting, but the PLUS version, violent, continuous, repeated vomiting, so that the abdominal pressure suddenly increases, squeezing the stomach so that the pressure in the esophagus lumen suddenly increases, while the cricopharyngeal reactive spasm is in a contracted state, this time the pressure in the esophageal cavity varies greatly in an instant, which can easily lead to esophageal rupture.
The cause of this violent vomiting, in the clinic, most of the doctors encountered are related to heavy drinking, as well as overeating, motion sickness caused by vomiting may also cause esophageal rupture. (In addition, this can occur during childbirth, epileptic convulsions, asthma, weight lifting, or stools.) ）
Therefore, severe vomiting caused by excessive alcohol consumption will most likely cause rupture of the esophagus.
2. Two very important reminders!!! Two important tips
■ First
If you suspect that you or your relatives and friends may have a ruptured esophagus, then there is one more thing you must remember while rushing to the hospital, that is, you must fast! Don't think of vomiting so many times, the stomach is empty, just drink some millet porridge, come to some milk cake to supplement Ha energy, to tell you, for patients with ruptured esophagus, once the food eaten with the ruptured esophagus leaks into the chest cavity, it will only aggravate their condition, so remember, do not eat for the time being, wait for the hospital doctor to see it!
■Second
Because there are many symptoms caused by rupture of the esophagus, especially like thoracologitis, peritonitis and other conditions, it is easy to be confused with other diseases, so go to the hospital must explain the condition to the doctor, such as chest pain that does not appear after vomiting after drinking, or epigastric pain caused by motion sickness and vomiting, you can not only tell the doctor the most obvious "chest pain", "breathing difficulties", "swallowing annoyance" These symptoms, without saying clearly, it is also very uneconomical to delay the diagnosis time!
West China Hospital Pi Xi Xi is a talented panda, its sister Hua Xi Tianfu Hospital is also a talented and high-value panda, the professional medical knowledge of this article comes from the talented and high-value Pi Xi xi of West China Tianfu Hospital! It doesn't matter who wrote it, seeing the heavy Pixi, you know that the doctor is coming, and you are steadfast! Hahaha, I wish friends a happy and healthy New Year!