's prevention and health care of noticing gastroduodenal ulcer is acute to punch

's prevention and health care of noticing gastroduodenal ulcer is acute to punch
The intersection of gastroduodenal ulcer and the intersection of empty stomach and punch sometimes or punch getting light, it flows into intestines and stomach of abdominal cavity to be content thing less, can flow to the right lower abdomen in the ditch along promoting colon, cause paining and tenderness of right lower abdomen, cause and misdiagnose because of suffering from abdominal pain under right in transformation when being exactly like acute appendicitis.
Summary
Gastroduodenal ulcer is corroded to the deep department in activity one gradually, go to the skin floor from glueing the mould, cause and pierce through the serous coat and punch after all.
Most lie in front of stomach duodenum near the pylorus in the wall to punch in the position. Clinical manifestation, for acute filling the air peritonitis. Stomach duodenum perforated ulcer is peptic ulcer and most serious complication, happened in Winter-Spring two quarters more, about of proportions of men and women 6- 15: 1, Can happen at any age, see with more than 30- 50 years old. Duodenal ulcer happen person who punch to be 3- 10 time high than gastric ulcer, the former the mean age is 33 years old, the latter the mean age is 46 years old. This disease has illness coming on urgently, change fast, if does not make a diagnosis and give treatment in time, will jeopardize the life because of development of peritonitis.
Symptom and body disease
1.The sudden upper abdomen knife cuts a kind of pain, fill the whole belly quickly. The majority is accompanied disgustingly and vomiting.
2.The belly type is breathed and disappeared, the abdominal muscle is tense like " plate " ,The whole belly tenderness is jumped and ached instead, obvious with the right upper abdomen. The voiced sound circle of liver shrinks or disappears, the gurgling sound weakens or disappears.
3.Develop with the condition, can present abdominal distension, even poisoning shock.
Diagnose the basis
1.Most patients have medical history of ulcer, and ulcer symptom will become more serious in the near future.
2.The sudden upper abdomen knife cuts a kind of pain, involve the whole belly quickly. The majority, with nausea, vomiting.
3.The whole belly tenderness, the skin is tense, especially right upper abdomen, the voiced sound circle of liver shrinks or disappears, the gurgling sound weakens or disappears.
4. perspect to see X-ray stretch and belly whether diaphragm be lasted gas low reaches; The belly dresses and smokes yellow muddy liquid.
Treat the principle
1.Fasting, intestines and stomach reduce pressure, half sit or sleep in the location.
2.Infusion, correct water electrolyte, the acid-base balance lacks proper care.
3.Employ antibiotic.
4.Surgery treatment: Indication includes: Punch on a full stomach, obstinate perforated ulcer, with pyloric stenosis or persons who bleed; Old, the whole body situation is bad or person who suspected to has canceration. The physical sign of symptom after 6- 8 hours of treatment has not taken a favorable turn through not performing the operation, the persons who aggravate instead. Operation way has stomaches that excises the skill mostly and punches to mend the skill simply.
Curative effect is appraised
Cure: After treating, the physical sign of belly symptom disappears, there is not a bad reaction after eating, there is not complication.
The expert briefs on
On clinic, about 30% of the patients have no medical history of typical ulcer, 10- 30% of the patients do not have diaphragm low reaches to leave the gas when the belly is perspected, so difficult to diagnose sometimes. The intersection of empty stomach and punch sometimes or punch getting light, it flows into intestines and stomach of abdominal cavity to be content thing less, can flow to the right lower abdomen in the ditch along promoting colon, cause paining and tenderness of right lower abdomen, cause and misdiagnose because of suffering from abdominal pain under right in transformation when being exactly like acute appendicitis. Acute pancreatitis is after eating and drinking immoderately, the sharp pain of upper abdomen comes down with, the companion is sick and vomiting and having illness coming on with slight peritonitis physical sign and perforated ulcer similarly, so to the patient who can not made a definite diagnosis of, should consider the possibility of pancreatitis. Consider whom gastric carcinoma punch might, to unable person who get rid of, should cut open the belly to ascertain actively finally, so as not to misdiagnose and leak and manage.
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