Military Clinical analysis of 103 cases of acute abdomen.doc

 PAGE \* MERGEFORMAT 7 Military Clinical analysis of 103 cases of acute abdomen Of: Zhang Bo, Xie Wei, Liu Jun, Zhang Xiang [Keywords:] soldiers, acute abdomen Abdomen is to highlight the performance of acute abdominal pain, need for early diagnosis and emergency treatment of abdominal diseases. Which is characterized by acute onset, rapid development and change, a wide range, involving multi-system, multi-disciplinary. Once the delay in treatment, will be serious consequences for patients, and even death. now from July 2002 to October 2006 with “acute abdomen” of soldiers treated 103 patients were retrospectively analyzed to explore the characteristics of the military acute abdomen. 1 Clinical data 1.1 General Information 103 patients were hospitalized military personnel, 97 cases were male and 6 female patients, aged 16 to 32 years, average 22.4 years old. 1.2 Clinical manifestations (1) pain location: l03 patients had different types of abdominal pain. Simple upper abdominal pain in 3 cases, left upper abdominal pain in 2 cases, right upper quadrant pain in 6 cases, right middle abdominal pain in 2 cases, Cullen pain in 4 cases, left in six cases of abdominal pain , 63 cases of metastatic right lower abdominal pain, right lower abdominal pain in 6 patients. lower abdominal pain in 5 cases, all 6 cases of abdominal pain. (2) the nature of pain: no fixed pain in 5 patients, 32 patients with paroxysmal pain, persistent pain in 66 cases. (3 accompanying symptoms: 5 cases with low back pain, pain radiation to the right shoulder or the subscapularis in 14 cases, 17 cases of radiation to the inner thighs, lower back pain in 4 cases, 43 cases with fever, nausea and vomiting in 41 cases, 13 cases of diarrhea, abdominal expansion in 20 cases, shock in 1 case, 4 cases of urinary urgency. All patients were hospitalized. The auxiliary examination and / or confirmed by surgery and cured. 1.3 types of lesions (1) acute appendicitis in 70 cases