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急性阑尾炎有哪些症状 杨琦 西安市第三医院 教科书描述急性阑尾炎转移性,右下腹痛,首先阑尾炎发生时,可能刚开始发作只是一个上部痛,但会逐渐的转移,最后固定在下部痛。所以急性阑尾炎的症状主要是腹痛,所有的炎症称作红肿热痛。红看不着,肿阑尾肿也看不到,主要就是痛。还有的病人会出现发烧的症状,急性阑尾炎发生初期主要是上部痛,然后会慢慢转移到右下腹固定下来,集中在右下腹痛。所以在初期时会出现急性呕吐,腹泻上腹痛的症状,这就容易跟胃炎胆囊炎,肾腺炎混淆。随着时间推移,固定在右下腹后,会比较容易诊断。急性阑尾炎是炎症性改变,所以出现急性腹痛以后,首先是按炎症进行积极的抗感染治疗。绝大多数病人经过积极抗感染治疗后会腹痛缓解,还有一部分病人也可以通过内镜下的引流,对病人进行阑尾的冲洗和引流。有一些阑尾再在保守治疗无效的情况下,也可以进行手术治疗。 What are the symptoms of acute appendicitis Textbook description of acute appendicitis metastasis, Right lower abdominal pain, When appendicitis first occurs, Maybe it's just an upper pain, But it will gradually shift, Finally fixed in the lower pain. So the main symptom of acute appendicitis is abdominal pain, All inflammation is called redness, swelling, and pain. Red can't see, There is no swelling of the appendix, The main thing is pain. Others have fever, In the early stage of acute appendicitis, the main cause is upper pain, And then it will slowly move to the right lower abdomen and fix it, Focus on right lower abdominal pain. So in the early days, there's acute vomiting, Symptoms of diarrhea and epigastric pain, This is easy to follow gastritis and cholecystitis, Renal adenitis is confused. Over time, Fixed behind the right lower abdomen, It will be easier to diagnose. Acute appendicitis is an inflammatory change, So after acute abdominal pain, The first is to carry out active anti infection treatment according to inflammation. The vast majority of patients will be relieved of abdominal pain after active anti infection treatment, Some patients can also be drained by endoscopy, Flush and drain the appendix. In some cases, if the conservative treatment fails, Surgery can also be performed.