急性阑尾炎与慢性阑尾炎怎么区别 刘先武 徐州矿务集团总医院 скачать в хорошем качестве

急性阑尾炎与慢性阑尾炎怎么区别 刘先武 徐州矿务集团总医院

急性阑尾炎与慢性阑尾炎怎么区别 刘先武 徐州矿务集团总医院 慢性阑尾炎：1、腹部疼痛：主要位于右下腹部，其特点是间断性隐痛或胀痛，时重时轻，部位比较固定。多数病人在饱餐，运动和长期站立后，诱发腹痛发生。病程中可能有急性阑尾炎的发作。2、胃肠道反应：病人常觉轻重不等的消化不良、胃纳不佳。病程较长者可出现消瘦、体重下降。一般无恶心和呕吐，也无腹胀，但老年病人可伴有便秘。急性阑尾炎：急性阑尾炎是外科常见病，居各种急腹症的首位。转移性右下腹痛及阑尾点压痛、反跳痛为其常见临床表现，但是急性阑尾炎的病情变化多端。其临床表现为持续伴阵发性加剧的右下腹痛，恶心呕吐，多数病人白细胞和嗜中性白细胞计数增高。而右下腹阑尾区（麦氏点）压痛，则是该病重要的一个体征。急性阑尾炎一般分四种类型：急性单纯性阑尾炎，急性化脓性阑尾炎，坏疽及穿孔性阑尾炎和阑尾周围脓肿。 How to distinguish acute appendicitis from chronic appendicitis Chronic appendicitis: 1. Abdominal pain: mainly located in the right lower abdomen, It is characterized by intermittent dull or distended pain, Time is heavy and time is light, The position is relatively fixed. Most patients are feasting, After exercise and standing for a long time, Induced abdominal pain. Acute appendicitis may occur in the course of the disease. 2. Gastrointestinal reaction: the patient often feels dyspepsia and poor gastric absorption of varying degrees. The patients with long course of disease may appear emaciation and weight loss. There is no nausea and vomiting, No abdominal distention, But the elderly patients may have constipation. Acute appendicitis: acute appendicitis is a common surgical disease, It ranks first in all kinds of acute abdomen. The common clinical manifestations are metastatic right lower abdominal pain, tenderness of appendix point and rebound pain, But the condition of acute appendicitis is changeable. The clinical manifestation of this disease is persistent right lower abdominal pain accompanied by paroxysmal exacerbation, Nausea and vomiting, Leukocyte and neutrophil count increased in most patients. But the right lower abdomen appendix area (Michaelis point) tenderness, It is an important sign of the disease. There are four types of acute appendicitis: acute simple appendicitis, Acute suppurative appendicitis, Gangrene and perforated appendicitis and periappendiceal abscess.