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小儿急腹症(Acute abdomen in children)
小儿急腹症(Acute abdomen in children)
Acute abdomen in children
Characteristics: age: congenital malformations, such as intestinal atresia, meconium obstruction, meconium peritonitis, congenital megacolon, congenital absence of anus. Neonatal vomiting, no abdominal distension, no meconium - high atresia. Such as vomiting and abdominal distention, but no meconium - anorectal malformations, congenital megacolon. About one month or so, vomiting and loss of weight - hypertrophic pyloric stenosis, malrotation of the intestines. 8-12 months, fat people suddenly crying - intussusception. 2 - 3 years old - adhesion obstruction or paroxysmal crying vomiting incarcerated hernia. Appendicitis, ascariasis, ascariasis, and abdominal trauma are common in 4-5 year old patients Vomiting does not necessarily indicate abdominal disease. Children with longer mesenteric, prone to torsion, intussusception, hernia. Neonatal gastrointestinal tract is inflated, slightly larger, only stomach, colon inflated, small intestine without gas. The small intestine of the newborn is empty or slightly larger, and the small intestine has Qi which may be morbid. Most of the acute abdominal diseases in children are mainly small bowel diseases, such as intussusception, acute necrotic enteritis, Ascaris obstruction, hernia, Meckel diverticulum, inflammation, bleeding, perforation, etc.. Exudative peritonitis is easily present in children (intestinal wall exudation). Mostly manifested as severe crying, vomiting, abnormal defecation, etc.. Neonatal ejection vomiting without bile - pyloric hypertrophy, containing bile - malrotation of the intestine. The pain associated with many medical problems: 1 cough onset no obvious abdominal signs on 2 paroxysmal irregular defecation normal pain 3 acute abdominal pain abdominal soft no mass, no intestinal type.
Primary peritonitis: invasion of the abdominal cavity through the blood, lymph, urogenital tract, 2-10 years of age. Children suffering from kidney disease, liver di
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