Fen type _'s general knowledge that gastric ulcer punches

Fen type _'s general knowledge that gastric ulcer punches

For having patients that diagnosed as ulcer clearly, pain such as presenting the upper abdomen suddenly, and with considering that there is possibility of gastric perforation of symptoms such as nausea, vomiting, cold sweat, pale complexion, palpitation,etc..
Perforated ulcer can be divided into 3 kinds of types, namely acute, subnormal temperature and chronic according to its clinical manifestation. The type of punching mainly depends on the position of ulcer, secondly is decided by the process of development of ulcer and relation with histoorgan around. Such as ulcer of front wall or upper and lower reason of the stomach, easy to produce acutely and punch; Ulcer lying in the wall behind the stomach, because stick to the neighbouring organ closely, it is apt to be exercised restraint in often producing by the adhesion chronically to punch. The common type acute punches on clinic.
Suffered from it for the patient of ulcer, once ulcer wear out suddenly, the sharp pain of upper abdomen that the patient feel at once, insufferable, so that is forced to lie in bed, pain can be radiated to back and right shoulder; As the whole belly of thing disperse of content of intestines and stomach, cause the whole belly sharp pain, in initial stage of the patient is sick, vomits, punches, because of the violent stimulus, can produce neural source shock, the patient looks pale, it is cool for four limbs to take place, produce cold sweat, rapid pulse, blood pressure drop, short of breath, take a favorable turn by oneself last generally. About 1-4 hours later, suffering from abdominal pain can lighten, the patient can rise to their feet and take action, think and drink, but it is still difficult to breathe, refuse to involve the movements of the abdominal muscle. After 12 hours, because of emergence of peritonitis, patient can generate heat and palpitation, shortness of breath, blood pressure drop and urine quantity reduce, the condition is being aggravated constantly, even develop into real shock. Most obvious and proper abdominal muscle nervouses the whole disease plate, tenderness is obvious, refuse according to, if you can't jump, ache instead. X-ray flat film about 70% of belly --80% patient can see diaphragm from low reaches to existence of gas, can also and belly puncture diagnose clearly through Ultrasonography B sometimes. As to the patient without medical history of stomach trouble previously, such as presenting the above-mentioned symptom and physical sign, also should consider the possibility of the painless perforated ulcer.
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