几种罕见急性腹痛的诊断辨别(国外英文资料).doc

几种常见急性腹痛的诊断鉴别 (1) acute gastroenteritis: there is a history of unclean food before the onset of the disease, or the history of similar symptoms of a common meal. Abdominal pain above the abdomen and umbilicus is the main, constant pain accompanies the acute increase. Often accompanied by nausea, vomiting, diarrhea, or fever. There is pain in the upper abdomen or the navel, and there is no muscle tension, no pain in the stomach, and a slight hypertone in the bowel. Laboratory inspection: the routine examination of stool can be found by abnormal. (2) of acute appendicitis: most patients in the first onset of epigastric durative ache, abdominal pain after hours of transferred to the right lower abdomen, the persistent ache with paroxysmal increase. A small number of patients have a lower right abdominal pain when they get sick. The abdominal pain in the lower right is a characteristic of acute appendicitis, which is about 70 to 80 percent. Can be accompanied by nausea, vomiting or diarrhea. A heavy person may have fever, fatigue, and poor mental health. The most important sign for diagnosing acute appendicitis is the right lower abdominal pain point, which is typically a pain in the McBunery or a muscle tension and a pain in the back. The test positive for the colon, the lumbar muscle test, or the obturator internus is not only helpful for diagnosis, but also for preoperative appendicitis. Rectal examination and womens pelvic examination are necessary for identification. Laboratory examination: blood white blood cells count up and neutrophils rise. Ultrasound: it can be found that the appendix is swollen or the fluid dark area around the appendix. Barium enema: the diagnosis of chronic appendicitis is helpful for the diagnosis of chronic appendicitis. If in the right lower abdomen and edge blur the lump, indicates that it has formed the appendix bag piece, such as chills, fever, ultrasound tip right abdomen with liquid dark space, should consider to appendix abscess f