疼痛概述（Pain overview）.docVIP

疼痛概述（Pain overview） Cao Weihua Hospital Affiliated to Weifang Medical University Words written before class Pain is a warning sign of many diseases and a common cause for medical attention. Through the study of this courseware, students can master the etiology and clinical manifestations of three kinds of pain, such as headache, chest pain and abdominal pain, and be familiar with their accompanying symptoms, and understand the pathogenesis and the main points of interrogation. I. overview of pain (1) concepts Pain is a very common symptom. Pain is a warning sign of many diseases and a common cause for medical attention. Pain is a warning signal that causes the body to avoid or remove the factors that cause pain. It has a protective effect on the body, a strong or long-lasting pain, and can cause physical dysfunction or even shock. (two) occurrence mechanism The mechanism of pain is pain, substance, body, viscera, trachea, esophagus, head and face. Pain causing stimulants are called pain causing substances, such as acetylcholine, 5- serotonin, histamine, bradykinin, potassium ions, hydrogen ions, and acidic substances produced by tissue damage. The occurrence of somatic pain is the free nerve endings - the spinal dorsal root nerve - the spinal cord, the thalamus, the lateral fasciculus - the internal capsule - the first posterior sensory area of the central posterior cortex of the cerebral cortex - causing a localized pain sensation. Visceral pain occurs through the sympathetic nerve and through the dorsal root into the spinal cord. The trachea and esophagus are uploaded through afferent fibers of the vagus nerve. Head and facial approach via trigeminal nerve. (three) classification Pain is divided into three categories according to the location: headache, chest pain and abdominal pain. Is there a parallel relationship between the extent of headache and the severity of the illness? What are the factors that aggravate, reduce or stimulate headaches? Two, headache (I)