Stomach duodenal ulcer accompany _'s prevention and health care of punching acutely

Stomach, duodenal ulcer accompany _'s prevention and health care of punching acutely
It is a stomach, common serious complication of the duodenal ulcer that stomach, duodenal ulcer are acute to punch, it punches to be more with duodenal ulcer. Acute while punching, a large number of content things flowed into the abdominal cavity suddenly in the stomach, duodenum, cause chemical peritonitis at first, several hours later, the gastrointestinal bacterium which flows into the abdominal cavity begins to be grown, form bacterial peritonitis gradually again, the serious one can erupt shock simultaneously.
[Diagnose ]
1.Symptom
Most patients have medical history of ulcer, and ulcer and and symptom will become more serious in the near future.
The upper abdomen knife cuts a kind of pain, involve the whole belly gradually, pain sometimes and radiate to the shoulder back.
With nausea more, vomit.
2.Physical sign
The whole belly tenderness, skin are tense, especially right upper abdomen.
The voiced sound circle of liver shrinks or disappears.
The gurgling sound weakens or disappears.
3.Auxiliary examination
X-ray stretch and belly perspect and see the diaphragm low reaches leave the gas.
The abdominal cavity punctures and smokes yellow muddy liquid, the litmus paper presents the acid reaction.
[Treat the measure ]
1.It is therapeutic not to perform the operation
It is relatively small to suitable for age, the course of disease of ulcer is short, it is small to punch, leak until content things of the abdominal cavity are few, persons who have the tendency to limit of peritonitis, but need to observe the condition change tightly.
Adopt half lie in the location in cases there is not shock, fasting, the intestines and stomach reduce pressure, employ antibiotic, infusion, correct water and electrolytic disorder and maintain the acid-base balance.
Cooperate with the acupuncture and moxibustion treatment. Can take the traditional Chinese medicine treatment according to the circumstances 3 days later, such as the big compound Radix Bupleuri soup is added or subtracted.
2.Surgery treatment
( 1) Operation indication: Not performing the operation for 24 hours, the treatment have no persons who take a favorable turn. Punch again. Or the persons who bleed with pyloric stenosis. Old, the whole body situation is bad or person who suspected to has canceration.
( 2) Operation way: Punch and sew up and the omentum is covered. Suitable for punching for long time, the abdominal cavity is heavy in pollution; It is unsuitable to make the person who excises stomach to get old and weak; The surrounding tissue is soft to punch, does not have the difficult one of technology to sew up. The stomach is excised mostly. Suitable for the time of punching short, inflammation is light; Gastric ulcer punches; Duodenum perforated ulcer is amalgamated and bled; Punch and sew up the person who may take place of the skill pyloric stenosis.
[Clinical manifestation ]
Most patients had stomaches, duodenal ulcer medical history, the knife appears to cut a kind of upper abdomen continuation sharp pain suddenly, because suffer from abdominal pain without dare, move body posture, can with sick vomiting at the same time, belly muscle nervous, very stiff in shape and strong and straight, there is obvious tenderness and jump and ache instead. The early patient's body temperature has not been raised, because the stomach after the punch, 12 strong chemical stimuli of meaning the intestinal juice, patient can present pale complexion, produce cold sweat, four limbs, take place cool, the intersection of pulse and detailed speed, the intersection of blood pressure and the intersection of person who drop and symptom. Later stage because the intestinal bacterium enters infection that the abdominal cavity causes, the patient presents symptoms such as hyperpyrexia, intestines paralysis, abdominal distension,etc.. Because the gastrointestinal gas enters the abdominal cavity, X-ray examination have free gas to can see under the diaphragm.
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