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急性阑尾炎的7大体征 !

2016-12-23 佚名 医学之声

1、右下腹压痛:是阑尾炎常见的重要体征,压痛点通常在麦氏点,但可随阑尾位置变异而改变,但压痛点始终固定在一个位置上。 2、腹膜刺激征:有腹肌紧张、压痛、反跳痛,常伴肠鸣音减弱或消失等,常提示阑尾炎已发展到化脓、坏疽或穿孔的阶段。 3、右下腹包块:应考虑阑尾周围脓肿。 4、结肠充气试验:病人取仰卧位时,用右手压迫左下腹,再用左手挤压近侧结肠,结肠内气体可传至盲肠和阑尾,

1、右下腹压痛:是阑尾炎常见的重要体征,压痛点通常在麦氏点,但可随阑尾位置变异而改变,但压痛点始终固定在一个位置上。


 


2、腹膜刺激征:有腹肌紧张、压痛、反跳痛,常伴肠鸣音减弱或消失等,常提示阑尾炎已发展到化脓、坏疽或穿孔的阶段。

 

3、右下腹包块:应考虑阑尾周围脓肿。

 

4、结肠充气试验:病人取仰卧位时,用右手压迫左下腹,再用左手挤压近侧结肠,结肠内气体可传至盲肠和阑尾,引起右下腹疼痛为阳性。

 

改良结肠充气试验:指在腹部查体时,按压腹部其它部位时引起右下腹疼痛。


5、腰大肌试验:病人取左侧卧位,使右大腿后伸,引起右下腹疼痛者为阳性。说明阑尾位于腰大肌前方、盲肠后位或腹膜后位。


 


6、闭孔内肌试验:病人取仰卧位,使右髋和右大腿屈曲,然后被动向内旋转,引起右下腹疼痛者为阳性。提示阑尾靠近闭孔内肌。


 


7、直肠指诊:阑尾位于盆腔或炎症已波及盆腔时,直肠右前壁有触痛,如有直肠膀胱隐窝处积脓,直肠前壁不仅有触痛且有饱满感或波动感。


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    2018-08-02 1237cdb8m17暂无昵称

    急腹症之一,学习了

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  2. [GetPortalCommentsPageByObjectIdResponse(id=335811, encodeId=4d573358114e, content=急腹症之一,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=91802412712, createdName=1237cdb8m17暂无昵称, createdTime=Thu Aug 02 17:39:18 CST 2018, time=2018-08-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170736, encodeId=3c5a1e073604, content=学习了普外科知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=162, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d9f22010206, createdName=1e1ea761m95(暂无匿称), createdTime=Mon Jan 16 13:54:56 CST 2017, time=2017-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1596687, encodeId=a8e9159668eb4, content=<a href='/topic/show?id=d5815245985' target=_blank style='color:#2F92EE;'>#急性阑尾炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52459, encryptionId=d5815245985, topicName=急性阑尾炎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=054218401094, createdName=charleshjw, createdTime=Sun Dec 25 06:03:00 CST 2016, time=2016-12-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=165396, encodeId=d6b91653966e, content=普外科知识,急腹症之一。, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160529/IMG574A6B851C0291840.jpg, createdBy=cb1b1723481, createdName=stomach, createdTime=Sat Dec 24 21:27:44 CST 2016, time=2016-12-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=165197, encodeId=78b816519e2f, content=学习了,特别是,几个定位实验。, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Fri Dec 23 21:31:29 CST 2016, time=2016-12-23, status=1, ipAttribution=)]
    2017-01-16 1e1ea761m95(暂无匿称)

    学习了普外科知识

    0

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    2016-12-24 stomach

    普外科知识,急腹症之一。

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=335811, encodeId=4d573358114e, content=急腹症之一,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=91802412712, createdName=1237cdb8m17暂无昵称, createdTime=Thu Aug 02 17:39:18 CST 2018, time=2018-08-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=170736, encodeId=3c5a1e073604, content=学习了普外科知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=162, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d9f22010206, createdName=1e1ea761m95(暂无匿称), createdTime=Mon Jan 16 13:54:56 CST 2017, time=2017-01-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1596687, encodeId=a8e9159668eb4, content=<a href='/topic/show?id=d5815245985' target=_blank style='color:#2F92EE;'>#急性阑尾炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52459, encryptionId=d5815245985, topicName=急性阑尾炎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=054218401094, createdName=charleshjw, createdTime=Sun Dec 25 06:03:00 CST 2016, time=2016-12-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=165396, encodeId=d6b91653966e, content=普外科知识,急腹症之一。, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160529/IMG574A6B851C0291840.jpg, createdBy=cb1b1723481, createdName=stomach, createdTime=Sat Dec 24 21:27:44 CST 2016, time=2016-12-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=165197, encodeId=78b816519e2f, content=学习了,特别是,几个定位实验。, beContent=null, objectType=article, channel=null, level=null, likeNumber=108, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Fri Dec 23 21:31:29 CST 2016, time=2016-12-23, status=1, ipAttribution=)]
    2016-12-23 Y—xianghai

    学习了,特别是,几个定位实验。

    0

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