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Gastric perforation is one of the most serious diseases of ulcer patients, if not timed**, it will be life-threatening, what are the symptoms of gastric perforation?
1. Abdominal pain, sudden and severe abdominal pain, the pain initially begins in the upper abdomen or perforated parts, often knife-cut and burning-like pain, generally persistent, can also be paroxysmal aggravation, the pain quickly spreads to the whole abdomen, can spread to the shoulder as a tingling and sore feeling.
2. Symptoms of shock, the disease progresses to bacterial peritonitis and intestinal paralysis, and the patient may have toxic shock.
3. Nausea and vomiting: Some patients may have nausea and vomiting, but it is not violent, vomiting during intestinal paralysis, and at the same time have symptoms of abdominal distension and constipation.
4. Other symptoms: fever, rapid pulse, generally appear a few hours after perforation.
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1 Once the gastric jeans or hole occurs, the patient will suddenly develop abdominal pain, which is very intense and knife-like, starting from the upper abdomen and soon spreading to the whole abdomen.
2. Patients with gastric perforation may have abdominal tenderness and abdominal muscle rigidity, whole abdominal tenderness, rebound tenderness and abdominal muscle tension, and abdominal muscle rigidity into a "plate-like".
3. About half of the patients with gastric perforation have symptoms of nausea and vomiting, which are generally not violent, but vomiting can be aggravated when intestinal paralysis occurs, and at the same time, there are symptoms such as abdominal distension and constipation.
4. Patients with gastric perforation may have weakened or disappeared abdominal breathing due to the presence of gas and effusion in the abdominal cavity, and bowel sounds may be very weak or disappear.
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[Disease**].
The most common cause of gastric perforation is peptic ulcer. Perforation occurs as the ulcer deepens, penetrating the muscular, serous and finally the walls of the stomach or duodenum. There are several different consequences that can occur after perforation.
If the bottom of the ulcer has adhered to adjacent organs such as the pancreas and liver before perforation, forming a penetrating ulcer, this is a chronic perforation, and in a few cases, the ulcer bottom is adhesed to the transverse colon, and a gastrocolic fistula is formed after perforation. Most of the above two conditions occur in the stomach, and the ulcer on the posterior wall of the duodenum is perforated, and if the ulcer is perforated and adhesions quickly occur with the omentum or nearby organs, an abscess can form around the perforation.
Disease symptoms] 1Bellyache.
The sudden onset of severe abdominal pain is the initial, most frequent and important symptom of gastric perforation. The pain begins in the upper abdomen or in the area of the perforation, often as a knife or burn, and is usually constant but may worsen in paroxysmal ways. The pain quickly spreads throughout the abdomen and can spread to the shoulder as a tingling or sore sensation.
2.Symptoms of shock.
In the early stage of perforation, patients often have a certain degree of shock symptoms, and the disease progresses to bacterial peritonitis and intestinal paralysis, and the patient may reappear toxic shock.
3.Nausea, vomiting.
About half of the patients have nausea and vomiting, which is not violent, and the vomiting is aggravated by intestinal paralysis, as well as abdominal distension and constipation.
4.Other symptoms.
Fever, rapid pulse, and increased white blood cells are common, but they usually appear a few hours after the perforation. 1.Workarounds.
Patients with gastric ulcers are prone to gastric perforation due to mood swings or overeating, and the possibility of gastric perforation should be considered as soon as symptoms occur. Before the ambulance arrives, the following should be done:
1) Don't roll around with your stomach covered, lie on your left side of the bed. The reason for this is that the perforation is mostly located on the right side of the stomach. Lying on the left side can effectively prevent further flow of stomach acid and food to the abdominal cavity and worsen the condition.
2) If the medical staff cannot arrive in time, but there are some simple medical equipment on site, the patient can insert the gastric tube by himself. Specific method: Insert the gastric tube into the nostrils, reach the throat, swallow vigorously while breathing, and swallow the gastric tube into the stomach.
Then use a syringe to remove the contents of the stomach, which will reduce the degree of infection in the abdominal cavity and buy the patient ** time, remember that the patient must also lie on the left side at this time.
2.[Disease**].
The severity of gastric perforation lies in the fact that a large amount of gastrointestinal fluid flows into the abdominal cavity after perforation, causing chemical or bacterial peritonitis and toxic shock, which can be life-threatening if not rescued in time. In the absence of small perforations in peritonitis, conservative**, fasting, nasogastric tube placement to aspirate gastric contents, infusion to replace water and electrolytes, and antimicrobial drugs to prevent secondary infection of the abdominal cavity. Perforation after a full meal, often diffuse peritonitis, requiring emergency surgery within 6 to 12 hours.
Chronic perforation, which progresses slowly, can cause adhesions and fistulas to adjacent organs, and often requires surgery**.
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The stomach wall is perforated, the stomach is swollen and painful, acid reflux, and there is a bloody smell in the mouth and nose.
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It may be caused by peptic ulcer or gastric ulcer.
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