Ulcer instill the knowledge of acute wearing tie

September 16, 2009 · Posted in Symptoms of gastric ulcer 

Ulcer disease is a common chronic systemic diseases, were divided into gastric ulcer and duodenal ulcers, also known as peptic ulcer. It is called a peptic ulcer, because the past that the gastric ulcer and duodenal ulcer is due to gastric acid and pepsin digestion of the mucous membrane itself is formed, in fact, gastric acid and pepsin is only one of the main ulcer formation There are other causes of ulcer disease can be formed. Because the cause of gastric ulcer and duodenal ulcers, and there are many similarities between clinical symptoms, the doctor is sometimes difficult to distinguish between a gastric ulcer or duodenal ulcer, it is frequently diagnosed as peptic ulcer or gastric ulcer, duodenal ulcer . If you can clearly ulcers in the stomach or duodenum, it can be directly diagnosed as gastric ulcer or duodenal ulcer.

 Fast progression of acute perforated ulcer can be divided into three stages:

 (1) chemical irritants in the stages: acute ulcer perforation, the stomach, duodenum rich in highly acidic or alkaline the contents suddenly into the abdominal cavity due to a strong chemical stimulation and chemical peritonitis. Appear immediately and sustained severe abdominal pain, accompanied by nausea and vomiting. Since the abdominal pain spread to the whole abdomen. Effluents due to perforation of multi-accumulated in the right upper quadrant, subphrenic region, a common cause of shoulder pain. If the flow of the plot in the lower right abdomen, right lower abdominal pain may occur, rather like perforation of acute appendicitis. Due to pain, the patient Changchengnongxing extreme irritability, appeared pale and a cold sweat, limbs Jueleng, pulse breakdown, blood pressure fall in shock symptoms. Shallow breathing exercises, abdominal breathing is limited. Extreme abdominal rigidity, plate-like hard, right lower abdomen and upper abdomen are marked tenderness and rebound tenderness. Liver dullness area shrink or disappear, bowel sounds diminished or disappeared. This stage, short duration, mostly in 1-2 hours after perforation.

 (2) The reactive phase: 1-5 hours after the perforation, if the perforation is not large, into the abdominal cavity of the stomach or intestinal contents was not too much, after a large number of congestive peritoneal exudate diluted peritoneal stomach contents of parcels are also reactive objects, to limit the expansion of inflammation. Slight ease in patients with abdominal pain can be a part of the general situation has improved, shock symptoms improved, but still the abdominal symptoms, abdominal tenderness becomes more apparent. Symptoms at this stage to reduce the phenomenon, could easily lead to misdiagnosis or missed diagnosis.

 (3) bacterial infection stages: acute ulcer perforation 1-2 days later, bacteria breeding in the intra-abdominal condition the further development of a more diffuse peritonitis, and aggravated serious infections. Patients with high fever, shortness of breath, white blood cells increased, paralytic ileus, sepsis, sepsis and infection, toxic shock, and even lead to death.

Next Article: Capsules should be taken with caution in patients with gastric ulcer

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