胃穿孔

紧急程度中等
-中度严重

这是胃壁的破裂。

最常见的原因是溃疡影响胃壁的整个厚度。

它表现为严重的腹痛,恶心,呕吐,发烧和/或发冷。

通过临床病史和完整的体格检查进行诊断。血液测试和成像测试(腹部X射线,CT)将需要作为补充测试。

治疗几乎总是涉及手术来修复休息。

参考文献
  1. Michael J Cahalane. Overview of gastrointestinal tract perforation. UpToDate Mar 01, 2016
  2. Nimish B Vakil. Overview of the complications of peptic ulcer disease. UpToDate Mar 11, 2015
  3. Hermansson M, Ekedahl A, Ranstam J, Zilling T. Decreasing incidence of peptic ulcer complications after the introduction of the proton pump inhibitors, a study of the Swedish population from 1974-2002. BMC Gastroenterol 2009; 9:25.
  4. Spoormans I, Van Hoorenbeeck K, Balliu L, Jorens PG. Gastric perforation after cardiopulmonary resuscitation: review of the literature. Resuscitation 2010; 81:272.
  5. Bertleff MJ, Halm JA, Bemelman WA, et al. Randomized clinical trial of laparoscopic versus open repair of the perforated peptic ulcer: the LAMA Trial. World J Surg 2009; 33:1368.
  6. Voermans RP, Worm AM, van Berge Henegouwen MI, et al. In vitro comparison and evaluation of seven gastric closure modalities for natural orifice transluminal endoscopic surgery (NOTES). Endoscopy 2008; 40:595.
作者
医生 Oscar Garcia-Esquirol
版权
© TeckelMedical 2026

症状

    腹部僵硬如木板


    无法忍受的痛苦


    按压时腹痛增加


    腹部疼痛剧烈,导致不动和躺下


    全身不舒服