Symptoms of ulcer perforation
To the deep gastric ulcer development, and penetrate the stomach, a common complication of ulcer disease, according to statistics, ulcer perforation ulcer patients account for about 20% – 50%. So there is a clear diagnosis of ulcer patients, such as the sudden appearance of upper abdominal pain, accompanied by nausea, vomiting, cold sweat, pale, heart palpitations and other symptoms should take into account the possibility of gastric perforation.
Ulcer perforation in accordance with their clinical manifestations can be divided into 3 types, namely, acute, subacute and chronic. Depends largely on the type of perforated ulcer site, followed by the decision of the process of developing ulcers and their relationship with the surrounding tissues and organs. Such as the anterior wall of the stomach or the upper and lower edge of the ulcer prone to acute perforation; is located in the posterior wall of the stomach ulcer, as close to adjacent organs susceptible to adhesion limits do have a chronic perforation. Common types of clinical acute perforation.
For patients suffering from ulcers, once a sudden perforation of ulcers, patients feel a upper abdominal pain, unbearable, and even forced to bed, the pain may radiate into the back and right shoulder; when the whole abdominal gastrointestinal contents dispersed, then cause of the whole abdominal pain, patients have nausea, vomiting, early perforation, due to intense stimulation, can produce neurogenic shock, the patient pale and cold extremities hair out cold sweat, pulse rate, blood pressure, shortness of breath, general lasted long and self-improvement. About 1-4 hours later, abdominal pain, reduce the patient can stand up action, think of drinking, but was still breathing difficulties, refused to involve the abdominal movements. After 12 hours later, due to the occurrence of peritonitis, the patient may be fever, heart palpitations, shortness of breath, blood pressure, decreased urine output, the condition has been increasing, and even developed into a real shock. The most obvious decency have a whole-abdominal nervous disorders, such as plate, marked tenderness, and rejected by, there is rebound tenderness. Abdominal X-ray film for about 70% – 80% of patients shows the presence of free gas diaphragm, and sometimes can make use of B-ultrasound and abdominal puncture diagnosis. There is no stomach for the past history of patients, such as the above-mentioned symptoms and signs, should also be taken into account the possibility of painless ulcer perforation.
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