Monday, March 3, 2008
The characteristics of acute pancreatitis abdominal pain!
Abdominal pain is the main symptom of acute pancreatitis, More than 95% of patients have different levels of abdominal pain. The majority of sudden onset, severe pain, abdominal pain, the frail elderly may highlight a small number of patients without abdominal pain or tenderness only pancreatic area, known as painless acute pancreatitis. The early onset, generally located in upper abdominal pain, often with the scope of the scope of the disease. Abdominal pain to zone for most; right rib second quarter; left rib third quarter; whole abdominal pain about 6 percent, such as the Department of lesion mainly in the pancreatic head, partial right upper quadrant abdominal pain, and back to the right shoulder or right radiotherapy; lesion mainly in the neck and body of the pancreas, abdominal pain and under the above order; tail lesions in the left upper quadrant abdominal pain for the prominent, to the left shoulder and back radiation; lesions involving the entire pancreas, submitted abdominal waist belt like pain, back to radiotherapy. Along with the development of inflammation, involved peritoneum, and expand into diffuse abdominal inflammation, abdominal pain may relate to the whole, but still above the abdomen for. The pancreas of sensory nerve bilateral dominated from the right side of his head, tail from the left side of the body is common nerve of the right and left sides. Bliss stimulate the electricity generated by under the pancreatic head start to the right transitional quarter rib pain, stimulate the pancreatic body only produced zone pain, stimulate the pancreas tail created began under the left rib transitional quarter pain. Apart from the pain of acute pancreatitis with lesions of the pancreas itself, but also with its coverage of the surrounding inflammation. The nature and intensity of abdominal pain most of the severity of the lesions consistent. Edema pancreatitis most persistent pain with paroxysmal heavier, often to 275. Due to vasospasm factors, the drug can ease the spasm. Bleeding necrotizing pancreatitis and knife cuts mostly colic-like pain, Antispasmodic agents would not be generally eased. After eating promote secretion of digestive enzymes can increase the pain. When supine heavier. Patients often take lateral hip flexor - sitting or bending forward to ease the pain. When there paroxysmal increasing abdominal pain, patients showed reverse roller, unbearable, and this different from angina, which take more static supine position, the roller are rare. The incidence of abdominal pain in a few days to ease, but this does not necessarily alleviate the performance of the disease, or a serious deterioration of the signs. Abdominal pain is the main cause of pancreatic edema caused by swelling of the pancreas, dragged by the capsule, Peripancreatic inflammatory exudation or retroperitoneal hemorrhage Baptist and celiac plexus, inflammatory exudation logistics to free intraperitoneal injection caused peritonitis, and pancreatic duct obstruction or such spasm.
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