How the clinical diagnosis of intestinal obstruction

Monday, March 31, 2008 · Posted in

Abdominal pain: for the performance of mechanical obstruction of paroxysmal abdominal colic, which is due to overcome the obstruction, caused by increased intestinal peristalsis, abdominal pain can be accompanied by attack Changming. If the period of intermittent abdominal pain shortened, or even become a persistent abdominal pain, may be strangulating intestinal obstruction performance.
Vomiting: Early obstruction, was vomiting reflex, or out of the Food and gastric juice; general, the higher the position obstruction, vomiting there sooner, and the more frequent, and low obstruction and colon obstruction, vomiting and later appeared less out of can be a fecal sample.
Abdominal distension: There is late. Not obvious obstruction high abdominal distension, intestinal obstruction low abdominal distension and colonic obstruction is obvious.
Exhaust anal stop defecation: complete intestinal obstruction after patients do not exhaust defecation. However, a small number of patients still remaining in the obstruction following stool and gas, can be discharged, it must not be denied the existence of intestinal obstruction.
A general acute physical suffering face, the early signs of life in general a little change. Advanced there will be increased body temperature, shortness of breath, blood pressure decreased by fast pulse performance.
There will be signs of abdominal intestinal type, creeping wave, abdominal tenderness there, there can be a strangulating anti-Tiaotong and muscle tension. Some patients can be touched abdominal mass. Strangulating intestinal obstruction can occur ascites, Kouzhen mobile voiced can be heard. Auscultation: mechanical intestinal obstruction can occur Changming sound of water hyperthyroidism polite tone. Strangulating intestinal obstruction Changming Music weakened or disappeared. Blood: blood leukocyte count in general increased 10 × 1O9 / L, strangulating intestinal obstruction often in the 15 × 109 / L, neutrophils increased.
Determination of serum carbon dioxide: When a metabolic acidosis, the combination of carbon dioxide can be reduced.
Determination of serum electrolytes: there will be hypokalemia, hyponatremia and low chlorine.
X-ray examination: Perspective standing position that many of intestinal bloating and gas plane loop.

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