腹部中风临床特点分析  

Study of Clinical Manifestation of Abdominal Apoplexy

作　　者：任之洁[1] 

机构地区：[1]上海第二医科大学附属瑞金医院,上海200025

出　　处：《苏州医学院学报》2000年第4期363-364,共2页Acta Academiae Medicinae Suzhou

摘　　要：目的　通过对腹部中风临床特点的分析 ,引起临床医师对该病的警惕 ,提高早期诊断率。方法　分析 9例腹部中风患者的病因、临床表现和诊治情况。结果　经剖腹探查确诊 8例 ,尸解确诊 1例。临床表现主要有突发性腹部剧痛、休克等。 6例既往有高血压病史 ,3例证实为动脉硬化致血管破裂。术前仅 1例考虑为腹腔内出血 ,余 8例均误诊。结论　凡年龄 >40岁 ,有高血压及动脉硬化病史 ,如伴有腹痛症状及程度不同的血腹体征、休克者 ,要考虑该病。剖腹探查是诊治该病的最好方法 。Objective According to analysis of the clinical manifestations of abdominal apoplexy,it suggests that the doctors should pay attention to this disease and increase early diagnostic ratios.Methods Analysis of aetiology,clinical manifestation and physical examination was made in 9 cases of abdominal apoplexy.Results There were 8 cases proved by laparotomy,and 1 case by autopsy.The main clinical manifestations were suddenly serious abdominal pain,and shock etc.There were 6 cases of history of hypertension,and 3 cases of ruptur of arteriosclerotic vessel.Only one case was diagnosed to be intraabdominal haemorrhage before operation.The rest 8 cases were misdiagnosed.Conclusion If the patient whose age is older than 40 years,has the history of hypertension and arteriosclerosis accompanying with abdominal pain or signs of intraabdominal haemorrhage (shock,shifting dullness,etc.),he may be considered to suffer from abdominal apoplexy.Exploratory laparotomy should be done if applicable.

关 键 词：腹部中风 临床特点 剖腹探查 

分 类 号：R656.1[医药卫生—急诊医学]