10abdominal+pain-2010

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1、Abdominalpain胡廷海重庆医科大学附属第二医院www.themegallery.comMechanism定位准确；程度剧烈持续；局部腹肌强直；可因咳嗽、体位变化而变化Somaticpain定位明确；疼痛剧烈；压痛、肌紧张感觉过敏Referredpain部位不明确；感觉模糊；伴随自主神经兴奋症状恶心、呕吐、出汗等Visceralpainwww.themegallery.com阑尾炎AppendicitisVisceralpainReferredpainSomaticpain脐周或上腹部，伴随恶心、呕吐麦氏点疼痛程度剧烈，伴随腹膜刺

2、激征www.themegallery.comAcuteCauseChronicwww.themegallery.comCommoncausesAcuteabdominalpain腹腔脏器的急性炎症：急性胃炎，急性肠炎，急性阑尾炎，急性胰腺炎，急性出血坏死性肠炎，急性胆囊炎。acutegastritis，acuteenteritis，acuteappendicitis，acutepancreatitis，acutehemorrhagicnecrotizingenteritis，acutecholecystitiswww.themegall

3、ery.com空腔脏器阻塞或者扩张：肠梗阻，肠套叠，胆道结石，泌尿系结石intestinalobstruction，intussusception，gallstone，urinarylithiasisobstructionwww.themegallery.com脏器扭转或破裂：肠扭转，卵巢扭转，肝破裂，异位妊娠破裂volvulus,ovariantorsion,liverrupture,ectopicpregnancywww.themegallery.com腹膜炎症：胃肠穿孔，自发性腹膜炎gastrointestinalperforati

4、on,spontaneousperitonitiswww.themegallery.com腹腔内血管阻塞：缺血性肠病，夹层腹主动脉瘤，门静脉血栓形成ischemicboweldisease,abdominalaorticdissectinganeurysm,portalveinthrombosiswww.themegallery.com腹壁疾病：腹壁挫伤，带状疱疹contusionofabdominalwall,herpeszosterwww.themegallery.com胸腔疾病所致腹部牵涉性痛：肺炎，心肌梗塞，心包炎pneumoni

5、a,myocardialinfarction,pericarditiswww.themegallery.com全身疾病：过敏性紫癜，糖尿病酮症allergicpurpura,diabeticketoacidosiswww.themegallery.comCommoncausesChronicabdominalpain腹腔脏器的慢性炎症：慢性胃炎，慢性肠炎，慢性阑尾炎，慢性胰腺炎，慢性胆囊炎，结核性腹膜炎，溃疡性结肠炎，Crohn’s病chronicgastritis，chronicenteritis，chronicappendiciti

6、s，chronicpancreatitis，chroniccholecystitis，tuberculosisperitonitis，ulcerativecolitis，Crohn’sdiseasewww.themegallery.com胃溃疡，十二指肠溃疡Gastriculcer，duodenalulcerwww.themegallery.com消化道运动障碍：功能性消化不良，肠易激综合征，胆道功能障碍functionaldyspepsia，irritablebowelsyndrome，BiliaryTractDyskinesisSyn

7、dromewww.themegallery.com腹腔脏器扭转或梗阻：慢性肠梗阻，慢性胃扭转chronicintestinalobstruction，chronicgastricvolvuluswww.themegallery.com脏器包膜牵张：肝炎，肝脓肿，肝癌hepatitis，liverabscess，hepatocellularcarcinomawww.themegallery.com中毒与代谢障碍：铅中毒，尿毒症leadpoisoning，uremiawww.themegallery.com肿瘤压迫与浸润www.themega

8、llery.comClinicalmanifestationLocationwww.themegallery.com腹痛部位多为病变部位www.themegallery.com腹痛部位和各疾病