abdominal stroke syndrome
Introduction
Introduction to abdominal stroke syndrome Abdominal Apoplexy Syndrome refers to the spontaneous rupture of the abdominal blood vessels causing acute abdomen and shock syndrome, also known as spontaneous massive intra-abdominal hemorrhage, intra-abdominal stroke syndrome, mesenteric or subperitoneal hemorrhagic syndrome, more common in Male patients with arteriosclerosis and hypertension. basic knowledge The proportion of the disease: the incidence rate is about 0.001% -0.002% Susceptible people: more common in men Mode of infection: non-infectious Complications: arteriosclerosis, hypertension, shock
Cause
Cause of abdominal stroke syndrome
Abdominal stroke is not an independent disease, but a group of clinical manifestations of intra-abdominal hemorrhage. The findings of this case often rely on laparotomy, the cause is still unclear, the current study found that essential hypertension Portal hypertension, and atherosclerosis are important risk factors for this disease. Abdominal vascular dysplasia or congenital defects, pregnancy and endocrine and inflammation may be associated with such cases.
It is generally believed that in patients with hypertensive atherosclerosis, the blood pressure suddenly rises when affected by external or internal factors, and the pressure on the visceral aneurysm or atherosclerotic weak area increases. When it reaches a certain level, the blood vessel can rupture and bleed. .
Prevention
Prevention of abdominal stroke syndrome
A large number of anticoagulant drugs are used in patients with atherosclerosis. Although there is no relevant large-scale clinical trial to confirm the correlation between the two, it is still necessary to be alert to the possibility of abdominal stroke, such as unexplained in the patients. When abdominal pain is accompanied by a progressive decline in hemoglobin, it is highly important.
Complication
Complications of abdominal stroke syndrome Complications, arteriosclerosis, hypertension, shock
Arteriosclerosis, hypertension, acute abdomen and shock.
Symptom
Symptoms of abdominal stroke syndrome common symptoms blood pressure drop pale pale abdominal pain shock
1, mainly for sudden onset of severe abdominal pain, pale, blood pressure, shock and peritoneal irritation.
2, often irritated.
3, deep breathing, coughing, can increase the pain when turning the body. Therefore, the patient cannot change his position.
4, some patients have peritoneal irritation, shock occurs quickly, accompanied by nausea and vomiting.
5, sudden onset of abdominal pain can be normal, and then gradually increase. In elderly patients with debilitation, body temperature does not necessarily increase as the condition worsens. The pulse usually speeds up as the body temperature increases.
Examine
Examination of abdominal stroke syndrome
1. Laboratory tests for anemia, leukocytosis, and abdominal puncture for bloody ascites.
2. Abdominal X-ray sign can be seen in the liquid plane.
Diagnosis
Diagnosis and diagnosis of abdominal stroke syndrome
1, laboratory examination: there are elevated white blood cells, up to 10,000 to 30,000, anemia, abdominal puncture ascites is bloody.
2, the abdominal flat can be found in the liquid level.
3, ultrasonic sonogram characteristics: pelvic abdominal cavity scan can be found in irregular liquid dark areas, some liquid dark areas can be explored similar to substantial or mixed mass, but no nourish arterial blood flow spectrum. Ultrasound examination is timely, rapid, intuitive and non-invasive. As the preferred auxiliary examination method and preoperative examination of this disease, it has certain clinical guiding value.
