The stomach is damaged

The stomach is damaged
Most stomaches are protected by costal arch, coat of the stomach thicker and moves about certainly degree, besides wearing to people wounded, there are less chances that the stomach damages in the closing belly is damaged. Diagnose the main point 1. Lower chests or upper abdomen cartridge firearms are wounded and stabing, the violent belly is paralysed and the companion is sick and vomiting after being wounded, the vomit can include the blood. 2.The abdominal muscle takes the form of board intensely, the peritoneum of there is tenderness, jumping, aching instead etc. stimulates symptom, the upper abdomen is prominent, spread to the whole belly gradually. The belly type is breathed limitedly, the gurgling sound disappears. 3. X-ray examination can be seen under the chest having, accumulating angry accumulating liquid. Put the stomach tube and smoke the bleeding gastric juice. Gastrocopy can be seen damaging or crack of coat of the stomach. 4. Open and wounded, there can be residue of food or bubbles to overflow in the way to injure. Can see the breach of coat of the stomach or stomach mucous membrane deviated from directly sometimes. Treat the principle l, resist the shock treatment actively: The blood circulation of coat of the stomach is abundant, in addition amalgamate many internal organs wounded and strong chemical peritonitis more, shock incidence high, should fast the intersection of fluid infusion and blood transfusion correct shock. 2.Fasting and lasting intestines and stomach reduce pressure: Find time the gastric juice, reduce the gastric juice to continue the pollution abdominal cavity. 3.Employ antibiotic of wide table, such as penicillin, ammonia festival penicillin, metronidazole,etc.. 4.Surgery treatment: Coat of the stomach part split wounded, use the intersection of silk thread and disconnected the intersection of stitch and the intersection of thick liquid and the intersection of skin and layer. When coat of the stomach punch or break greatly, repair, create reason, look through after the disconnected stitch in the the whole layer, skin layer is strengthened in the thick liquid. Eye carry far and the intersection of pylorus and coat of the stomach organize the greater part damage, should walk stomach part excise skill. 5.Skill aftertreatment: Need, go on the effective intestines and stomach reduce pressure up to the fact that the function of intestines and stomach recover while being postoperative.

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