Don't hold back any kind of abdominal pain

"Trauma causes peritonitis, and failure to treat it in time triggers septic shock. The abdominal pain was severe, and the old man still wanted to endure it, but he almost died. Speaking of this case, Li Yifei, deputy chief physician of the Second Department of General Surgery of the Sixth People's Hospital of Xuzhou City, Jiangsu Province, said frankly, "The patient is too careless! If you come a little late, it is really a lack of skills. "Many people think that abdominal pain is all right if it is eased, in fact, it is likely that peritonitis has found the door."

The handlebar "pounded" the broken intestines to endure the big trouble

A few days ago, Mr. Yu fell down while riding a bicycle, and his stomach was violently "pounded" by the handlebar, and the pain caused him to lie on the ground for half a day. He had thought that it would be better to endure it, but the next day, not only did his pain become more and more obvious, but he also had some chills and fevers, and his consciousness was not clear. His family rushed him to the Sixth People's Hospital of Xuzhou City. The doctor found that Mr. Yu was full of abdominal tenderness, abdominal muscles were hard, and his abdomen was bulging, "This is typical peritonitis, why didn't it attract attention?" ”

When the doctor operated on Mr. Yu, he found that a large amount of purulent fecal water was all over the abdominal cavity, resulting in acute diffuse peritonitis and serious infection. The doctor immediately rinsed the abdominal cavity with a large amount of normal saline, and the probe found that Mr. Yu's intestines had broken a hole, and along this hole, the feces spilled into the abdominal cavity.

Peritonitis or life-threatening

Many people mistake peritonitis for general stomach pain, but peritonitis is much more serious. Han Jiangao, director of the Department of Gastroenterology of the Fifth People's Hospital of Shangrao City, Jiangxi Province, said that peritonitis is a situation of inflammation of the peritoneum, which is a clinical emergency and requires immediate treatment. Peritonitis can be divided into acute and chronic, the common peritonitis is acute peritonitis, abdominal trauma, cecalitis, gastric ulcer, intestinal perforation, colorectal diverticulitis, pancreatitis, pelvic inflammatory disease and peritoneal dialysis treatment may cause peritonitis.

Depending on the cause, symptoms of peritonitis can occur suddenly or gradually. It is characterized by fever, abdominal pain, nausea, vomiting, flatulence, diarrhea, hard and painful abdominal compressions, and life-threatening due to decreased blood pressure and systemic toxic reactions in severe cases. "Clinically, many infectious shocks caused by peritonitis are caused by pain."

Treatment of the primary disease prevents peritonitis

How do I distinguish between common abdominal pain and abdominal pain caused by peritonitis? Han Jiangao said that peritonitis is more special and will have rebound pain, rather than intestinal colic caused by general gastroenteritis. When the hand is pressed against the affected area, the pain will be stronger when released. At the same time, if there is a phenomenon of increased pain, be wary of peritonitis. In addition, patients with peritonitis will have flatulence in the abdomen, and diarrhea or constipation may occur in two diametrically opposed conditions, but there will be a strong feeling of inability to exhaust.

Early treatment of intra-abdominal inflammatory diseases that may cause peritonitis is a fundamental measure to prevent peritonitis. In terms of treatment, surgery is currently the mainstay, and in some cases, endoscopes with smaller wounds can be used for surgery, and a small number of peritonitis can be injected through the abdominal cavity or antibiotic drugs can be added to the peritoneal dialysate.

(Excerpt from "City Morning News" and "Shangrao Daily")

Source: Tonight's newspaper