What is the most common cause of acute abdominal pain with shock

Acute abdominal pain with shock In clinical practice, especially in the emergency department, the most common ** are severe pancreatitis, visceral bleeding and gastrointestinal perforation, which are most likely to cause abdominal pain and can cause shock. Severe pancreatitis can cause disease, human body fluid, blood volume depletion, as well as internal organ disorders around internal organs, organ damage, and at the same time produce many inflammatory mediators, which can affect the patient's blood pressure, cause shock, confusion, abdominal pain and secondary multi-organ failure. Considering the perforation of the digestive tract can cause the patient's gastric contents to flow into the abdominal cavity, causing chemical damage and secondary abdominal infection, and can also cause the patient's blood volume depletion and septic shock, which will endanger the patient's life.

It should be noted that once there is abdominal pain, mental changes and unstable blood pressure, it is necessary to visit the hospital in time for relevant examinations and a clear diagnosis, and some diseases require active surgical intervention to avoid aggravation.

In general, acute abdominal pain with shock is common ** gastrointestinal perforation with acute diffuse peritonitis, appendix perforation with peritonitis, spleen rupture, liver rupture, small intestine rupture or colon rupture and other acute abdomen.

In this case, the patient must go to the emergency surgery department of the hospital for treatment**, and the doctor will recommend the patient to improve some corresponding examinations and tests in the emergency department.

Once an acute abdomen is identified, it is important to have emergency surgery as soon as possible**. If the patient has acute abdominal pain and shock, a laparotomy should be performed at the same time as anti-shock to save the patient's life.

If there is acute abdominal pain accompanied by shock, the common cause is the possibility of bleeding from abdominal organs and blood vessel rupture, such as spleen rupture, liver rupture and bleeding or gastric cancer bleeding, and shock will occur when the amount of bleeding is large. Generally speaking, different **, as well as its special clinical signs, such as spleen rupture is mainly based on left abdominal pain, liver rupture is mainly in the right abdomen, gastric cancer above abdominal pain is the main one, and there is hematemesis. Acute abdominal pain also includes other causes of vascular hemorrhage, so if acute abdominal pain is accompanied by shock, you should go to the hospital in time.

Complete tests to confirm the diagnosis.

Perforation and rupture of abdominal organs, such as biliary and pancreatic diseases, infectious peritonitis, hypovolemic shock caused by massive gastrointestinal bleeding, etc.

What are the times of acute abdominal pain with shock fighting? You don't have intestinal obstruction or anything like that, so go to the hospital in time.

The most common should be that eating something may be a little uncomfortable.

This can be caused by shock due to infectious peritonitis and shock due to hemorrhagic causes.

Acute abdominal pain is accompanied by classes, and it is possible that it is subacute peritoneal inflammation of fanicitis, which can lead to this condition.

Acute necrotizing pancreatitis.

Answer] :d ureteral stones, renal colic is manifested as colic in the renal area, which radiates along the ureter to the perineum, and will not be exacerbated by paroxysmal conditions, and shock is rare. Simple mechanical intestinal obstruction is also an acute, persistent abdominal pain without paroxysmal exacerbations with shock.

Acute appendicitis is metastatic right lower quadrant pain, and usually there is no paroxysmal exacerbation with shock. Biliary ascariasis is a drill-like pain in the right abdomen. Only strangulated intestinal obstruction fits the description, so D is chosen.

Classification: Hemorrhagic shock, fluid loss shock, traumatic shock Cardiogenic shock, cardiac tamponade shock, septic shock, anaphylactic shock, neurogenic shock, cellular shock.

**: Hypovolemia: massive bleeding, severe burns, major surgery, etc. Pump dysfunction: acute myocardial infarction, large pericardial effusion, etc. Cardiovascular dysfunction: severe pneumonia, drug trauma hydride, etc.

Key points of diagnosis: There are triggers for shock Impaired consciousness Pulse velocity greater than 100 per minute or unpalpable Clammy extremities, sternum regardless of acupressure, striated patterns, pale or cyanotic mucous membranes, urine output greater than 30 ml per hour Systolic blood pressure less than 80 mmHg Pulse pressure difference less than 20 mmH Systolic blood pressure in hypertensive patients decreased by more than 30% compared with basal blood pressure.

Two of 1 and 234 are met, and one of 567.

Answer]: The cause of shock caused by acute surgical ascension is due to severe lesions (such as large perforation of organs, bacteria or gastrointestinal fluid entering the abdominal cavity) or improper infection, and the rapid spread of infection to form diffuse peritonitis. At this time, the peritoneum is severely congested, generalized edema, and the exudate increases, resulting in a significant decrease in blood volume, and at the same time, the peritoneum absorbs a large amount of toxins, resulting in shock.

Acute necrotizing pancreatitis, perforated vertical ulcer of the stomach and duodenum, strangulated intestinal obstruction, acute gangrenous cholecystitis, acute purulent cholangitis, acute intra-abdominal hemorrhage and mesenteric vascular thromboembolism.

1) Early stage of shock: nervous or irritable, anxious and easily excited, conscious, pale, clammy limbs, cold sweat, increased heart rate, positive or low systolic blood pressure, slightly increased diastolic blood pressure, reduced pulse pressure difference, and decreased urine output.

2) Medium stage of shock: apathetic expression, unresponsiveness, confusion or coma, ** clammy and cold, obvious cyanosis, thin or palpable pulse, superficial vein collapse, prolonged capillary filling time, systolic blood pressure drops below and Mengkai, pulse pressure difference is less than, urine output is less than 20ml h or even no urine.

3) Late stage of shock: DIC and extensive organic damage to internal organs often occur, causing bleeding from the mucous membranes and internal organs, as well as clinical signs of heart, lung, brain, liver, kidney and digestive tract failure.