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xun huan xi tong ji bing yin qi de fu tong ji zhi liao
Author(s): 
Pages: 23-24
Year: Issue:  5
Journal: Progress in Japanese Medicine

Keyword:  反复腹痛压痛消炎痛强的松龙肠系膜动脉栓塞肠梗阻循环系统疾病肠系膜静脉血栓放散剧烈腹痛;
Abstract: <正> 一、肠系膜动脉栓塞、血栓肠系膜上动脉起端发生急性阻塞时,在心窝部、脐中心可出现剧烈疼痛,用镇痛药多无效。腹部压痛、肌卫、腹胀等征不明显。但若发生肠梗阻进行性坏死时,腹部则可出现肌卫、压痛、腹胀等,白细胞增多,进而发生休克。慢性发病时,常于食后反复腹痛,并见便血。肠系膜静脉血栓也可发生肠梗阻而引起腹痛,但比动脉血栓经过缓慢,发病率也低。肠系膜动脉栓塞、血栓多见于老年充血性心力衰竭、心房纤颤的病例,故在老年心脏病患者发生剧烈腹痛时,必须疑及由于该病引起的肠梗阻。确定诊断需作腹主动脉造影。
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