急性腹痛的诊断和处理（Diagnosis and management of acute abdominal pain）.docVIP

急性腹痛的诊断和处理（Diagnosis and management of acute abdominal pain） The chance of diagnosis and treatment of acute abdominal pain.Txt2 to fight on their own, need to hold their own destiny, life is their own staff, deterrence does not personally play it? Diagnosis and management of acute abdominal pain I. definition 1. abdominal pain (abdominal, pain) refers to the internal and external viscera caused by various reasons, and the pain is abdominal pain 2. general clinical abdominal pain can be according to the onset and duration of the disease is divided into acute and chronic abdominal pain Two. The cause of acute abdominal pain (1) acute inflammation of the abdominal organs: acute gastritis, acute enteritis, acute pancreatitis, acute hemorrhagic necrotic enteritis, acute cholecystitis, etc.. (2) obstruction or dilatation of cavity organs: such as intestinal obstruction, biliary calculi, ascariasis of biliary tract, urinary calculi, obstruction, etc.. (3): such as torsion or rupture of viscera volvulus, intestinal strangulation, mesenteric or omental torsion, ovarian torsion, rupture of liver and spleen rupture and ectopic pregnancy rupture. (4) peritonitis: most of them are caused by gastrointestinal perforation, and few of them are spontaneous peritonitis. (5) celiac vascular obstruction: ischemic bowel disease, dissecting abdominal aortic aneurysm, etc.. (6) abdominal wall diseases: such as contusion of abdominal wall, abscess and abdominal wall herpes zoster. (7) abdominal involvement pain caused by chest diseases, such as pneumonia, pulmonary infarction, angina pectoris, myocardial infarction, acute pericarditis, pleurisy, hiatal hernia and so on. (8) abdominal pain caused by systemic diseases: such as abdominal type allergic purpura, uremia, lead poisoning, etc.. Three. Diagnosis and differential diagnosis 1. history is very important for the diagnosis of abdominal pain. Therefore, the course, location, intensity, characteristics, predisposing or relieving factors, a