What are the examination items for gastric perforation, and what are the tests for gastric perforati

Routine physical examination, abdominal puncture, X-ray, B-ultrasound, CT examination.

Paracentesis aspirates purulent fluid and facilitates diagnosis.

X-rays, particularly plain abdominal x-rays, usually reveal disembodied gas from the diaphragm.

Ultrasonography and CT can help confirm the diagnosis.

1. Physical examination: abdominal wall tenderness, rebound tenderness, muscle tension peritonitis symptoms, hepatic dullness shrinkage or disappearance.

2. The diagnosis of purulent fluid aspiration by abdominal puncture is clear.

3. X-ray B ultrasound CT examination confirmed the disease.

Tympanic membrane perforation can cause symptoms such as tinnitus, ear congestion, hearing loss, and severe deafness. An otolaryngology specialist is recommended to identify tympanic membrane perforation**.

How can I identify tympanic membrane perforation, and what similar diseases are tympanic membrane perforation similar to? Whaik distinguishes and identifies tympanic membrane perforation, as follows:

The key points in the diagnosis of tympanic membrane perforation are:

History of ear or head injury;

with earache, deafness, and minor bleeding in the external auditory canal;

The morphology conforms to the characteristics of traumatic perforation: the perforation is mostly located in the tense part, which is fissure-shaped, triangular, irregular, etc., and the perforated edge is sharp, eversion, and attached to the blood crust;

Acoustic conductance test does not elicit tympanogram, or the injured ear has a B-shaped curve but the volume of the external auditory canal is significantly larger than that of the healthy ear;

Exclude perforation due to otitis media. Acoustic conductance and otoendoscopy can objectively and truly reflect the morphological characteristics of tympanic membrane perforation, and can provide an objective basis for the forensic identification of traumatic tympanic membrane perforation.

Chronic otitis media has a perforated eardrum that causes otorrhea and hearing impairment, as well as the risk of cholesteatoma, so it is necessary to repair it. The broken eardrum can be repaired with the fascia of the temporal muscle next to the ear, with a success rate of more than 90%, and this type of myringoplasty or tympanoplasty can eliminate otorrhea and improve hearing.

Perforation of the eardrum in chronic otitis media is necessary to repair the eardrum in addition to otorrhea and hearing impairment, as well as the risk of cholesteatoma. The broken eardrum can be repaired with the fascia of the temporal muscle next to the ear, with a success rate of more than 90%, and this type of myringoplasty or tympanoplasty can eliminate otorrhea and improve hearing.

What are the symptoms of gastric perforation? What should I do if I have a stomach perforation**?

It is caused by ulcers in the intestinal digestive system. Well, the most common is peptic ulcer. It is due to the continuous deepening of the ulcer, the continuous penetration, and finally the penetration of the wall of the 12 denum, so that the perforation occurs.

It may be due to the lack of attention to the aspect of eating, the convenience of eating, and then there is also the aspect of exercise. One is an acute perforation, which may be due to trauma. There will be some degree of shock symptoms in the early stages of the window.

If you have a shock, go to the hospital immediately.

1.Bellyache.

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**.

The main cause of gastric perforation is long-term stomach disease or gastric ulcer.

Patients with gastric perforation should pay more attention to the usual diet, eat more light, digestible, warm food, avoid overeating, eat regularly and quantitatively, eat small and frequent meals, and patients should avoid overwork, maintain a comfortable mood, and avoid smoking and alcohol.

1.Paracentesis aspirates purulent fluid and facilitates diagnosis.

Thread examination, particularly an upright plain abdominal x-ray, usually reveals disengaged gas from the diaphragm.

Ultrasound, CT examination, can help confirm the diagnosis.

Must be operated on**, suture the wound, pay attention to the usual diet, wine, spicy, ginger and garlic cold things do not eat as well

Be careful not to eat pasta, buns, and drinks.

Gastric perforation is one of the most serious complications in patients with ulcer disease. Gastric perforation is mainly caused by overeating and lack of food on the basis of gastric ulcer, and overeating can cause an increase in gastric acid and pepsin, which can easily induce gastric perforation. The patient develops sudden, severe abdominal pain, which initially begins in the upper abdomen or in the area of the perforation, often in the form of a knife or burning, usually persistent, and quickly spreads to the entire abdomen.