腹痛-----课件.pptVIP

Section 13 Abdominal Pain第十三节 腹痛;;Contents:;Overview (概述） The causes : disorders of abdominal organs (main), extra-abdominal lesions and systemic diseases. Organic and functional disorder.;Contents:;Etiology（病因学） Acute Abdominal Pain Chronic Abdominal Pain;;5. Abdominal angiemphraxis （血管阻塞） 6. Diseases of abdominal wall（腹壁疾病） 7. Referred pain caused by thorax disease （胸腔疾病的牵涉痛） 8. Systemic disease（全身性疾病） ;Chronic abdominal organs inflammation 2. Dyskinesia of GI (运动障碍） 3. Peptic ulcer（溃疡） 4. Obstruction and twisting （梗阻和扭转）;5. Distention of visceral surface （脏器包膜牵张） 6. Metabolic and toxic disease （中毒和代谢） 7. Compression and invasion of tumor（肿瘤压迫和浸润） 8. Function disease;Contents:; visceral pain(内脏性腹痛） somatic pain（躯体性腹痛） referred pain（牵涉痛）;◆ visceral pain（内脏痛）： ;◆ visceral pain（内脏痛）： Characteristic： ① hard to pinpoint the location ② The pattern of the pain is mostly spasm（痉挛）/ dull（钝痛） /burning pain； ③ Accompanied by nausea、vomiting、sweating etc. ;◆ somatic pain （躯体痛）;◆ somatic pain （躯体痛） Characteristic： ① Easier to pinpoint the location ② Severe and constant ③ Abdominal muscle tension (肌紧张) ④ Worsen by cough and posture change（体位变化）;◆ referred pain（牵涉痛）;◆ referred pain（牵涉痛） The character similar to somatic pain: ① Easier to pinpoint the location ② Severe and constant ③ Abdominal muscle tension ④ Hyperesthesia（感觉过敏）; visceral pain(内脏性） somatic pain（躯体性） referred pain（牵涉痛）;Contents:;★ the relation between pain and time;★The location of the pain： generally reflects the involved structure;★ The pattern of abdominal pain ; Drill-like pain （钻顶样） ：biliary duct ascarid(蛔虫) Dull pain （钝痛） ：Dyskinesia（运动障碍） of GI, or peptic ulcer Bloating pain （胀痛） ：distention of viscus ;★ provocative and palliative factors (诱因和缓解因素） What make