Acute appendicitis is a very common surgical diseases, with the main symptoms of acute appendicitis

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Acute appendicitis is a very common surgical diseases, with the main symptoms of acute appendicitis is abdominal pain, often severe pain patients in pain, then what are the main manifestations of acute appendicitis when got it? We take a look at Tianshui POH surgeon is how to say it. Tianshui Pok Oi Hospital surgeon pointed viral infection out acute appendicitis mostly purulent inflammation caused viral infection due to the appendix, once the treatment is not timely, but also endanger the lives of patients, viral infection so be sure to go to hospital for treatment, viral infection the main manifestations of acute appendicitis viral infection are the following: mainly as abdominal pain, gastrointestinal reactions and systemic reactions. 1. Abdominal pain: forcing the immediate early medical treatment of patients with acute appendicitis, abdominal pain is the main reason, apart from a very small number of patients associated with transverse viral infection myelitis, there is the presence of abdominal pain. (1) abdominal parts: a typical patient with acute appendicitis, abdominal pain began on the site of much pain, epigastric or around the navel, viral infection after about 6-8 hours, or more than ten hours, abdominal pain gradually down, and finally fixed right lower abdomen. Abdominal pain after fixation, viral infection the original site of early pain can significantly reduce or even completely disappear. This change in the site of pain, clinically known as metastatic right lower abdominal pain, which is unique characteristic of acute appendicitis is one of the main basis for the identification of other acute abdomen, about 80% of patients have this feature . Traditional interpretation of metastatic abdominal pain are: early onset of pain is the appendix to exclude bezoar or foreign body, relieve lumen obstruction, produced a strong wall motility, visceral reflex caused by neurological disorders result viral infection can not be accurately viral infection because splanchnic nerve indeed discern the site of pain; when the inflammation spread to the appendix serosa and mesentery, the right lower quadrant of the parietal peritoneum nerve receptors are stimulated, more accurate positioning viral infection of pain. Clinically atypical patients have abdominal pain may be the initial site of the whole abdomen, or the left abdomen, even at the waist, perineum; also some patients without metastatic abdominal pain, the incidence of pain in the right lower abdomen outset. Therefore, there is no typical history of metastatic abdominal pain, can not easily be completely ruled out the presence of acute appendicitis. (2) reduce the significance of sudden abdominal pain: acute appendicitis course, some patients in complete remission sudden abdominal pain, this phenomenon may occur in two situations: bezoar, foreign body is discharged into the cecum, appendix lumen obstruction suddenly lifted, quickly reduce intraluminal pressure, relieve pain immediately, said the condition improved; in addition, viral infection the appendix wall necrosis, perforation, viral infection purulent exudate into the abdominal cavity, the cavity pressure appendix is rapidly reduced, pain can be immediately reduced, but intra-abdominal inflammation gradually diffusion, after a brief remission, right lower abdominal pain will gradually increase, which is a temporary phenomenon. Therefore, to reduce the pain of a sudden, a symbol viral infection not necessarily better, it is necessary to determine a comprehensive combination of signs, viral infection can not easily give up treatment. (3) the characteristics of pain: the majority of patients with acute appendicitis, abdominal pain, a few may begin with the sudden and sustained start with paroxysmal abdominal viral infection pain, and then gradually increased. Sudden complete obstruction of acute appendicitis, early onset can be as severe paroxysmal abdominal pain, which is due to increased intraluminal pressure viral infection appendix, the appendix wall strong contraction knot MEDICAL EDUCATION | Education Network collected fruit, after a sharp pain, may be transient and intermittent viral infection episodes again. The extent and characteristics of pain varies, but is closely related with the pathological type of appendicitis, viral infection mostly simple appendicitis persistent dull pain or tenderness, and purulent and perforated appendicitis often paroxysmal pain or tenderness. 2. gastrointestinal reactions: nausea, vomiting most common, mostly early vomiting reflex, often occurs in the peak of pain, vomit, food residue and juice, then later vomiting and peritonitis related. viral infection About one-third of patients have symptoms of constipation or diarrhea, increased stool frequency, abdominal pain earlier, probably the result of increased bowel movements. When the pots appendicitis, the appendix tip directly stimulate the rectal viral infection wall can also be associated with it plays more, and pelvic abscess after perforation of the appendix, only it plays more, there may even be tenesmus. 3. Systemic reactions: early acute appendicitis, some patients conscious general fatigue, viral infection weakness, or headache, dizziness. The course feel fever, body temperature more simple appendicitis between viral infection 37.5-38 , purulent and perforated appendicitis, high body temperature, up to about 39 , very few patients chills fever, body temperature can rise to 40 the above. In this Expert Tips: had acute appendicitis, if the family no effect promptly sent to hospital for treatment. Hospital treatment should follow the doctor's schedule. Accompanying persons shall cooperate with the medical staff to do the work of the patient.
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