急腹症医学.pptVIP

急 腹 症Acute Abdominal Pain 昆明医学院第一附属医院急诊科 郑宏宇 概念 外科急腹症是一组以急性腹痛为主要表现，绝大多数需要紧急外科手术处理的急性炎症、出血、梗阻、穿孔及血运障碍性疾病的总称。 前言 Abdominal pain is a complaint seen commonly in the outpatient setting. The differential diagnosis of a patient presenting with acute abdominal pains. A focused history physical examination adjunctive testing strategy pathophysiology of the pain The abdominal viscera are innervated with nocioceptive afferents within the mesentery, on peritoneal surfaces,and within the mucosa and muscularis of hollow organs. The pain genesis Mechanical stretch Chemical substance P