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肛周脓性如何判断轻重 张龙江 河南省中医院 肛周脓肿的轻重有些分两方面:一个是从病人的表现方面,有些病人你看他脓肿轻,自己感觉着症状不重,摸到肛门周围一个肿块,但是他走路你看都能走;如果严重的情况下病人走路都走不成,有些叉着腿甚至家人得搀扶,甚至严重的肛周脓肿,他可以出现全身的一些症状就是说一般的情况下发烧、不明原因的发烧、没劲,然后咳嗽或者用力的情况下,肛门疼痛比较明显有些疼痛甚至晚上休息都休息不成,然后到医院检查的情况下,大夫能给他指诊、肛门指诊、肛门镜检测的情况下能看出来他轻重,如果肛门周围这个局限的比较小,这个肿块范围很局限手指头摸着很小,这种脓肿的话一般都比较轻;如果比较严重的脓肿,甚至肛门周围一圈脓液都流过来一圈,没有一点好地方这一种;再一个一些脓肿伸入直肠,直肠这个坐骨直肠间隙甚至更高位置、骨盆直肠间隙,然后它会形成肛门周围巨大的一个包块,压痛非常厉害,然后肛门直肠里边这个温度也升高,波动感非常非常明显,这种就是比较严重的脓肿。 How to judge the severity of perianal purulence The severity of perianal abscess can be divided into two aspects: one is from the patient's performance, There are some patients with mild abscess, I feel the symptoms are not serious, I felt a lump around my anus, But he can walk as you see; If the patient can't walk in serious cases, Some even have to be supported by their families, Even severe perianal abscess, He can have some symptoms of the whole body, that is to say, in general, he has a fever, fever of unknown cause, and lethargy, And then coughing or exerting, The pain in the anus is more obvious, some of which can't even rest at night, And then go to the hospital for an examination, The doctor can show his weight when he can finger check, anal finger check and anal mirror test, If the limitation around the anus is small, It's a very limited mass, and it's very small, This kind of abscess is usually light; If the abscess is more serious, Even a circle of pus around the anus flows in, There is no such thing as a good place; Another abscess is coming into the rectum, This ischiorectal space is even higher in the rectum, the pelvic rectal space, Then it forms a huge mass around the anus, The tenderness is very severe, And then the temperature in the anorectum goes up, The wave motion is very obvious, This is a serious abscess.