关注:8种常见腹痛的特点 !

2017-07-23 北京大学人民医院腔镜外科 钟朝辉 人民网

腹痛的病因复杂多变,这8种尤其需谨慎。

腹痛的病因复杂多变,这8种尤其需谨慎。

1.一阵一阵的绞痛

推测病因:肠梗阻

严重后果:肠穿孔、肠坏死、休克

肠梗阻引起的肚子疼主要是一阵儿一阵儿的绞痛,整个肚子还会打了气儿一样的胀,有的患者还会呕吐,不放“噗噗”、也不“嗯嗯”,整个肠子就像被堵住了一样。如果变成了持续性的绞痛,并且一波比一波疼,就有可能转成了更严重的绞窄性肠梗阻。造成肠梗阻的病因比较多,常见的有便秘、炎症、机械性的梗阻(肠外压迫、肠套叠、肠扭转、粪块异物梗阻)、还有肠道肿瘤等。如果不及时治疗,会造成肠道穿孔、肠坏死、感染性休克,甚至死亡。

2.右边小肚子疼,还乱窜

推测病因:阑尾炎

严重后果:阑尾穿孔、脓肿

阑尾炎,一般疼着疼着还会换地方。最典型的是从肚子上边开始疼,逐渐往下挪到了肚脐周围,最后转移到右边小肚子,也就是右下腹,并且在这儿安营扎寨使劲疼。它的特点是,疼痛一旦转移到右下腹,之前那些疼过的部位就不疼了。而且多数患者都会发低烧,即使是化脓性阑尾炎也不会超过38℃,如果是高热,很有可能是发生了阑尾炎穿孔,甚至是腹膜炎。

阑尾炎如果不及时治疗会造成穿孔、阑尾周围脓肿等并发症。

3.大吃大喝后肚子疼

推测病因:胰腺炎

严重后果:脓肿,感染,死亡

胰腺炎引起的肚子疼常常出现在吃过大量油腻腻的食物后,或者大量饮酒后,疼痛一般位于肚子的中上部,有时候会向腰部、背部嗖嗖放射着疼。疼痛程度因人而异,病情轻的就是钝痛,病情重的就会有持续性的绞痛。轻症的胰腺炎没有什么并发症,重症的胰腺炎会造成胰腺脓肿,还可能造成腹腔的感染、多器官的衰竭。需要注意的是,重症胰腺炎的死亡率很高,如果不早期控制住,死亡率甚至可以达到40% ——50%。

4.肚子右边刀割样的绞痛

推测病因:胆囊炎

严重后果:穿孔

急性胆囊炎引起的疼痛,位置是在肚子右边,患者会感觉像刀割一样绞着疼(想象一把尖刀在肚子里旋转跳跃…),一阵一阵发作,发作时也没有预兆,剧烈的疼痛经常打得患者措手不及,可能还会伴随着恶心呕吐和发热,一般热度在38.5度以下,有的患者还会有右肩膀的放射疼。胆囊炎不及时治疗可能会造成胆囊穿孔和胆囊周围脓肿,肝脓肿,但这种严重的后果比较少见。

5.育龄女性整个肚子都疼

推测病因:宫外孕

严重后果:大出血

宫外孕引起的疼痛是整个肚子都在疼,宫外孕破裂出血前,患者会感觉特别疼,破裂出血后,疼痛反而会感觉轻了一点。宫外孕最常见的并发症是腹腔内的出血。随着医疗条件的改善,宫外孕的死亡率已经没有那么高了,但是一旦发作,病情通常比较凶险。

6.腰腹部疼,下体也疼

推测病因:泌尿结石

严重后果:休克

泌尿系统结石最典型的症状就是肾绞痛和血尿。如果一边腰腹部突然超级疼,还沿着输尿管嗖嗖的向下半身(睾丸、阴囊、大阴唇)放射着疼,就非常可能是肾绞痛。肾绞痛主要是由于肾脏内的结石掉进了输尿管,并且顺着输尿管向下蠕动排出时引起的。它疼起来特别突然,特别剧烈,这种绞痛可以持续几分钟到几十分钟,有的人还会疼几个小时。疼痛发作时,患者还可能会恶心呕吐、大汗淋漓、面色苍白、辗转不安,严重的还会休克。

7.肚子上有个包,剧痛

推测病因:嵌顿疝

严重后果:肠壁缺血坏死

疝气就是人体内某个零件离开自己的位置,钻到了别的地方。发生疝气的部位,通常会鼓个包,所以很容易发现。疝气本来不疼,有时会有往下坠、酸胀的感觉,但如果发生了嵌顿,患者就会剧烈疼痛。所谓嵌顿疝,就是它钻到别人的地盘结果被卡住,回不去了,这种疼痛刚开始是一阵一阵的,随后就会疼得停不下来。除了剧烈的疼痛,患者还会出现呕吐,停止排气、停止排便等肠梗阻的症状。如果发生嵌顿的是肠管,它被持续卡着,肠子就会因为没有血液供应而坏死,后果是很严重的。

8.心脑血管病人突然肚子绞痛

严重后果:肠坏死

肠系膜血管栓塞引起的腹痛,是非常剧烈的持续性的疼痛,疼痛部位常在上腹部,肚脐周围或者右上腹,患者常常还会恶心、呕吐、腹泻。一般情况下是毫无预兆,突然就疼起来了,解痉类药物很难缓解这种疼痛。这个病如果不及时处理,会引起大面积的肠坏死,所以还是很凶险的。有心脑血管病的患者一定要多加小心。

上面是一些腹痛基本特点的总结,但是临床上不能生搬硬套,需要根据患者临床表现和相关辅助检查综合判别。

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    2017-09-28 1e0ba702m86(暂无匿称)

    不错的.学习了.谢谢分享!

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  3. [GetPortalCommentsPageByObjectIdResponse(id=248358, encodeId=4e8d24835827, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160717/IMG578BA7C21F5227685.jpg, createdBy=70421925809, createdName=1e0ba702m86(暂无匿称), createdTime=Thu Sep 28 02:51:57 CST 2017, time=2017-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272258, encodeId=596a12e2258d4, content=<a href='/topic/show?id=c01e85565e8' target=_blank style='color:#2F92EE;'>#腹痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85565, encryptionId=c01e85565e8, topicName=腹痛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4aa106, createdName=crystal0562, createdTime=Tue Jul 25 13:57:00 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225772, encodeId=eb44225e724a, content=挺实用, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Mon Jul 24 11:38:24 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225730, encodeId=50b5225e30d3, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/y6Sk2KiaDibWSs0icexcRzKWXKao9dILdyaB6olvWApA1uiaapa4T9XMiaU7hTZA04uj2iavabfdCT5iaO6AYue5qSJ7MzXaAVSqh6j/0, createdBy=08e01983553, createdName=执迷不悔, createdTime=Mon Jul 24 09:52:50 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225701, encodeId=761c225e0104, content=好好文章学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Mon Jul 24 08:36:42 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225626, encodeId=4d0b2256262e, content=好东西学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Mon Jul 24 06:47:44 CST 2017, time=2017-07-24, status=1, ipAttribution=)]
    2017-07-24 有备才能无患

    挺实用

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=248358, encodeId=4e8d24835827, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160717/IMG578BA7C21F5227685.jpg, createdBy=70421925809, createdName=1e0ba702m86(暂无匿称), createdTime=Thu Sep 28 02:51:57 CST 2017, time=2017-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272258, encodeId=596a12e2258d4, content=<a href='/topic/show?id=c01e85565e8' target=_blank style='color:#2F92EE;'>#腹痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85565, encryptionId=c01e85565e8, topicName=腹痛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4aa106, createdName=crystal0562, createdTime=Tue Jul 25 13:57:00 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225772, encodeId=eb44225e724a, content=挺实用, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Mon Jul 24 11:38:24 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225730, encodeId=50b5225e30d3, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/y6Sk2KiaDibWSs0icexcRzKWXKao9dILdyaB6olvWApA1uiaapa4T9XMiaU7hTZA04uj2iavabfdCT5iaO6AYue5qSJ7MzXaAVSqh6j/0, createdBy=08e01983553, createdName=执迷不悔, createdTime=Mon Jul 24 09:52:50 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225701, encodeId=761c225e0104, content=好好文章学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Mon Jul 24 08:36:42 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225626, encodeId=4d0b2256262e, content=好东西学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Mon Jul 24 06:47:44 CST 2017, time=2017-07-24, status=1, ipAttribution=)]
    2017-07-24 执迷不悔

    学习了

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=248358, encodeId=4e8d24835827, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160717/IMG578BA7C21F5227685.jpg, createdBy=70421925809, createdName=1e0ba702m86(暂无匿称), createdTime=Thu Sep 28 02:51:57 CST 2017, time=2017-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1272258, encodeId=596a12e2258d4, content=<a href='/topic/show?id=c01e85565e8' target=_blank style='color:#2F92EE;'>#腹痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85565, encryptionId=c01e85565e8, topicName=腹痛)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4aa106, createdName=crystal0562, createdTime=Tue Jul 25 13:57:00 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225772, encodeId=eb44225e724a, content=挺实用, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Mon Jul 24 11:38:24 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225730, encodeId=50b5225e30d3, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/y6Sk2KiaDibWSs0icexcRzKWXKao9dILdyaB6olvWApA1uiaapa4T9XMiaU7hTZA04uj2iavabfdCT5iaO6AYue5qSJ7MzXaAVSqh6j/0, createdBy=08e01983553, createdName=执迷不悔, createdTime=Mon Jul 24 09:52:50 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225701, encodeId=761c225e0104, content=好好文章学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Mon Jul 24 08:36:42 CST 2017, time=2017-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225626, encodeId=4d0b2256262e, content=好东西学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Mon Jul 24 06:47:44 CST 2017, time=2017-07-24, status=1, ipAttribution=)]
    2017-07-24 139****5926

    好好文章学习了

    0

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    2017-07-24 thlabcde

    好东西学习了!

    0

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