临床诊断学腹痛abdominalpain.ppt

* * Hu Shuiqing Acute pain , which is persistent and of recent onset, is called acute abdomen until a precise diagnosis is made,such as appendicitis. Chronic pain persists over weeks or months, such as in cancer of pancreas. Recurrent pain is intermittent and may be absent during examination but reappears with worrisome frequency, such as pain from peptic ulcer. Possible Causes of Acute Abdominal Pain Possible Causes of Chronic Abdominal Pain Characteristics that reveal the origins of pain 1. Biliary, pancreas, and liver disorders 2. Gastrointestinal disorders 3. Genitourinary disorders 4. Gynecologic disorders 5. Endocrine disorders 6. Intrathoracic disorders 7. Neuromuscular disorders 8. Peritoneal disorders 9. Toxic or metabolic disorders (1) Acute cholecystitis (急性胆囊炎) (2) Cholelithiasis (胆石症) (3) Acute pancreatitis(急性胰腺炎) Pancreatic pseudocyst rupture Hepatic adenoma rupture Biliary, pancreas, and liver disorders 1. Biliary, pancreas, and liver disorders 2. Gastrointestinal disorders 3. Genitourinary disorders 4. Gynecologic disorders 5. Endocrine disorders 6. Intrathoracic disorders 7. Neuromuscular disorders 8. Peritoneal disorders 9. Toxic or metabolic disorders (1) Adhesive obstruction (粘连性肠梗阻) (2) Appendicitis（阑尾炎） (3) Perforated peptic ulcer (duodenal ulcer, gastric ulcer) (4) Leaking aortic aneurysm (5) Colon cancer perforation (6) Esophageal rupture Gastrointestinal disorders 1. Biliary, pancreas, and liver disorders 2. Gastrointestinal disorders 3. Genitourinary disorders 4. Gynecologic disorders 5. Endocrine disorders 6. Intrathoracic disorders 7. Neuromuscular disorders 8. Peritoneal disorders 9. Toxic or metabolic disorders (1) Acute pyelonephritis(急性肾盂肾炎) (2) Testicle torsion(睾丸扭转) (3) Ureteral stone(输尿管结石) Genitourinary disorders 1. Biliary, pancreas, and liver disorders 2. Gastrointestinal disorders 3. Genitourinary disorders 4. Gynecologic disorders 5. Endocrine disorders 6. Intrathoracic disorders 7. Neur