The holiday season is approaching, drinking and feasting, which is the traditional habit of celebrating the festive season. This is the time to pay attention to the moderation of the diet, do not overeat. Overeating is especially likely to cause attacks of pancreatitis, cholecystitis and other diseases. Here is a focus on acute pancreatitis. Acute pancreatitis (AP) is a relatively common type of acute abdominal disease, which is an acute chemical inflammation of the digestive enzymes in the pancreas that occur in their own digestion. Its incidence accounts for the 3rd to 5th place of acute abdominal diseases. More than 80% of patients with mild disease, namely acute edematous pancreatitis, can be cured by non-surgery. 10% of patients with severe pancreatitis, namely acute hemorrhagic necrotizing pancreatitis, the inflammation of the pancreas is not reversible or self-limiting, often requiring surgery. Because the disease has a high mortality rate of 30% to 60%, and prone to a variety of serious comorbidities, it is a serious challenge for doctors. The pancreas secretes digestive enzymes that digest sugar, protein and fat. The pancreas is located in the left upper abdomen, behind the stomach, and is in the shape of an elongated band. In acute pancreatitis, the pancreas is edematous or necrotic and bleeding, and the clinical manifestations are sudden onset of acute epigastric pain radiating to the back, nausea, vomiting, fever, decreased blood pressure, and elevated blood and urine amylase as features. Acute pancreatitis necrotizing hemorrhagic type is critical, and shock and peritonitis occur quickly, and some patients die suddenly. A. Its common causes are as follows: 1. Biliary tract diseases. Cholecystitis, cholelithiasis, etc. 2, alcoholism and overeating. 3, duodenal papillary lesions. Duodenal ulcer or inflammation. In addition, mumps, viral hepatitis, abdominal surgery, abdominal trauma, certain drugs can also cause an attack of pancreatitis. Second, the onset of its often appear the following symptoms: 1, severe abdominal pain: sudden onset, knife-like or colic, persistent pain, paroxysmal aggravation. Often after a full meal or alcohol attack. The location of abdominal pain is mostly in the middle of the upper abdomen or to the left of the upper abdomen. When combined with biliary tract disease, the pain is more severe in the right upper abdomen. The pain radiates to the lower back, with the left side being the most common. The pain can be relieved when bending over or sitting up and leaning forward, but it is aggravated when lying on the back. Normal type abdominal pain is relieved in 3-5 days, while necrotizing hemorrhagic type abdominal pain lasts longer, and the pain can diffuse to the whole abdomen. 2, nausea and vomiting: the initial onset of the disease is frequent vomiting, can vomit bile. The necrotizing hemorrhagic type vomiting relief is replaced by obvious abdominal distension. 3, fever: ordinary type has moderate fever, not accompanied by chills, lasting 3 to 5 days. Necrotizing hemorrhagic type has higher fever, persistently does not subside, body temperature about 40 ℃. 4, shock: seen in the necrotizing hemorrhagic type, the patient appears irritable, pale, large bruises on the abdomen and waist, wet and cold extremities, decreased blood pressure, increased pulse rate, sudden death occurs, confirmed by autopsy as acute necrotizing hemorrhagic pancreatitis. 5, laboratory tests: serum amylase began to increase 1 to 2 hours after the onset of the disease, 8 to 12 hours specimens are the most valuable, to 24 hours to reach the peak, and last 24 to 72 hours, 2 to 5 days gradually drop to normal. The urinary amylase starts to increase 12 to 24 hours after the onset of the disease, reaches a peak at 48 hours, maintains for 5 to 7 days, and decreases slowly. (Specific values may vary depending on the reagents used in each hospital, so please refer to the normal values attached) 6. Ultrasound and CT: both can show the outline of pancreatic enlargement, the amount and distribution of exudate, and can also show pseudo-pancreatic cysts and abscesses. The treatment of acute pancreatitis: 1. Non-surgical treatment: According to the typology, stage and etiology of pancreatitis, choose the treatment method. (1) fasting, gastrointestinal decompression: to prevent vomiting, reduce abdominal distension, and increase the amount of cardiovascular blood; (2) rehydration, prevention and control of shock: intravenous fluids, supplemental electro-mediators, correction of acidosis, prevention and treatment of hypotension, maintenance of circulatory stability, and improvement of circulation; (3) bouts of pain, antispasmodic: used after the diagnosis is clear; (4) inhibition of pancreatic secretion: the use of acid-suppressing and pancreatic enzyme inhibiting agents; (5) nutritional support: fasting period by (6) antibiotic application: for severe pancreatitis, broad-spectrum antibiotics are used intravenously. 2, surgical treatment: the most commonly used is the removal of necrotic tissue plus drainage. Biliary pancreatitis should be actively treated for the original disease. The main aspect of prevention is to pay attention to diet. Can not drink alcohol, drinking alcohol in moderation. Can not eat too much, can not eat too greasy, especially in the evening more attention. People who already have chronic pancreatitis, of course, even less so. And, even in normal times, you should eat less and more. Eat 4-6 meals a day, reduce the amount of each meal, quit greasy, quit smoking and drinking. So, what should I do if I have already had an attack? When you have an acute attack, you should of course see an emergency room immediately. According to the doctor’s orders, you should generally fast and not eat anything. After the disease is under control, then gradually resume the diet. Usually you start eating rice soup, vegetable soup without oil and some fruit juice, lotus root powder and so on. After eating, nothing problem occurs, then eat some congee, tofu, vegetable puree without oil. Usually, after an acute attack, there is always a period of two weeks to a month when you are forbidden to eat fatty foods and the amount of protein should be controlled, not too much, for example, up to one egg a day, and the yolk should be removed. Then, gradually resume a normal diet. Even if you resume a normal diet, you should eat mainly low-fat foods, such as soy products, fish, shrimp, eggs, and some lean meats. It is best to quit smoking and alcohol for life to prevent recurrence. The same goes for people with original chronic pancreatitis and cholecystitis, avoiding animal oils and fried foods. In this way, you can have a joyful and peaceful holiday.