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了解急性闌尾炎癥狀

幸运飞艇会亏吗SHIJIAN:2016-05-17 00:00:00

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BIANJI:WANGYOUZHENGLI

標簽:其他 急性闌尾炎 

導讀:急性闌尾炎是一種耳熟能詳的疾病。很多患者在發病的第一時間,都能夠及時發現,唯一的區別就是有些患者無法判斷自己患有的是否是急性闌尾炎這種疾病,因此,下面我們就來和大家一起了解一下急性闌尾炎的相關癥狀是什

幸运飞艇会亏吗  JIXINGLANWEIYANSHIYIZHONGERSHUNENGXIANGDEJIBING。HENDUOHUANZHEZAIFABINGDEDIYISHIJIAN,DOUNENGGOUJISHIFAXIAN,WEIYIDEQUBIEJIUSHIYOUXIEHUANZHEWUFAPANDUANZIJIHUANYOUDESHIFOUSHIJIXINGLANWEIYANZHEZHONGJIBING,YINCI,XIAMIANWOMENJIULAIHEDAJIAYIQILEJIEYIXIAJIXINGLANWEIYANDEXIANGGUANZHENGZHUANGSHISHENME?

  1.腹痛:幸运飞艇会亏吗典型的急性闌尾炎開始有中上腹或臍周疼痛,數小時后腹痛轉移并固定于右下腹。早期階段為一種內臟神經反射性疼痛,故中上腹和臍周疼痛范圍較彌散,常不能確切定位。當炎癥波及漿膜層和壁層腹膜時,因后者受體神經支配,痛覺敏感、定位確切,疼痛即固定于右下腹,原中上腹或臍周痛即減輕或消失。據統計70%~80%的患者有典型轉移性右下腹痛病史。少數病人的病情發展快,疼痛可一開始即局限于右下腹。因此,無典型的轉移性右下腹疼痛史并不能除外急性闌尾炎。

  2.胃腸道癥狀:單純性闌尾炎的胃腸道癥狀并不突出。在早期可能由于反射性胃痙攣而有惡心、嘔吐。盆腔位闌尾炎或闌尾壞疽穿孔可因直腸周圍炎而排便次數增多。并發腹膜炎、腸麻痹則出現腹脹和持續性嘔吐。

  3.發熱:一般只有低熱,無寒戰,化膿性闌尾炎一般亦不超過38℃。高熱多見于闌尾壞疽、穿孔或已并發腹膜炎。伴有寒戰和黃疸,則提示可能并發化膿性門靜脈炎。

  4.壓痛和反跳痛:腹部壓痛是壁層腹膜受炎癥刺激的表現。闌尾壓痛點通常位于麥氏(MCBURNEY)點,即右髂前上棘與臍連線的中、外1/3交界處。闌尾的這一體表解剖標志并非固定不變,它也可位于兩側髂前上棘連線中、右1/3交界處的LANZ點。隨闌尾解剖位置的變異,壓痛點可相應改變,但關鍵是右下腹有一固定的壓痛點。壓痛程度和范圍往往與炎癥的嚴重程度相關。

幸运飞艇会亏吗  YISHANGJIUSHIJIXINGLANWEIYANDEXIANGGUANZHENGZHUANG,WOMENJINGGUOSHANGMIANDELEJIEHOU,JIUNENGGOUZHIDAOHUANYOUJIXINGLANWEIYANHOU,HUICHUXIANSHENMEYANGDEZHENGZHUANG,YINCI,WOMENYIDANCHUXIANJIXINGLANWEIYANDEXIANGGUANZHENGZHUANGHOU,YIDINGYAOJISHIQIANWANGZHENGZHUANGDEYIYUANJINXINGXIANGYINGDEJIANCHA,JISHIZHENDUANJIBINGDECUNZAI。

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