常见的肠梗阻英文.ppt

Reporter：Tang Jingjing The Diagnosis and Differential Diagnosis of Intestinal Obstruction Name Fang xx Sex male Age 72 Chief Complaint Abdominal distension, abdominal pain with stop exhaust anus defecate for one month. History of present illness About 1 month ago， no obvious incentive appear abdominal distension, abdominal pain, stop exhaust anus defecate, and in the local hospital ， forbid the diet, gastrointestinal decompression, enema improved. after treatment, the symptoms appeared again and again. Past history Have an operation for duodenal tumor surgery 2 years ago in our hospital. Physical examination Vital signs stable, Abdomen distention, visible of gastric pattern,intestinal pattern,peristaisis. Gurgling sound decreased. Clinical History x-ray Which is the final diagnosis? Association with multiple Air-fluid level, considering low small intestine obstruction. Analysis of the case After examinations，Laparotomy surgery was carried out, combined with the pathological diagnosis， the diagnosis of small intestinal carcinoma combined obstruction was made, at last , the doctor performed the intestinal resection and anastomosis operation, operation smoothly, safely back ward. The intestinal obstruction is refers to the intestinal tract which any reason causes through the barrier, but causes the intestinal tract and whole body‘s pathological change。 It is one of the most common surgical acute abdomen.Sometimes acute intestinal obstruction diagnosis is difficult, illness development is fast. The mortality rate would be high if the diagnosis and treatment is delayed. clinical symptoms (1) In the past had chronic obstruction symptoms and repeated acute illness. (2) The majority of patients with abdominal surgery, trauma, hemorrhage, foreign bodies, or a history of inflammatory disease. (3) For paroxysmal abdominal pain, nausea, vomiting, abdominal distension and