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伤寒并发肠出血有哪些临床表现,怎样救护?

发布时间:2009-11-03 来源:原创文章 作者:本站编辑 " ["prev"]=> object(app\common\model\Article)#4 (34) { ["autoWriteTimestamp":protected]=> bool(true) ["insert":protected]=> array(1) { [0]=> string(7) "site_id" } ["connection":protected]=> array(0) { } ["parent":protected]=> NULL ["query":protected]=> NULL ["name":protected]=> string(7) "Article" ["table":protected]=> NULL ["class":protected]=> string(24) "app\common\model\Article" ["error":protected]=> NULL ["validate":protected]=> NULL ["pk":protected]=> NULL ["field":protected]=> array(0) { } ["except":protected]=> array(0) { } ["disuse":protected]=> array(0) { } ["readonly":protected]=> array(0) { } ["visible":protected]=> array(0) { } ["hidden":protected]=> array(0) { } ["append":protected]=> array(0) { } ["data":protected]=> array(29) { ["id"]=> int(1080) ["site_id"]=> int(1) ["type_id"]=> int(42) ["title"]=> string(60) "伤寒并发肠穿孔有哪些临床表现,怎样救护?" ["subtitle"]=> string(0) "" ["shorttitle"]=> string(0) "" ["color"]=> string(0) "" ["img"]=> string(0) "" ["url"]=> string(39) "https://www.whsjytyy.com/view/1080.html" ["seo_title"]=> string(0) "" ["seo_keyword"]=> string(0) "" ["seo_description"]=> string(0) "" ["txt"]=> NULL ["summary"]=> string(0) "" ["tag"]=> string(0) "" ["user_id"]=> int(1) ["user_type"]=> int(0) ["author"]=> string(0) "" ["source"]=> string(0) "" ["flag"]=> string(0) "" ["views"]=> int(4822) ["status"]=> int(99) ["pubdate"]=> int(1257297204) ["create_time"]=> int(1507857254) ["update_time"]=> int(1507857254) ["delete_time"]=> NULL ["rank"]=> string(6) "986.00" ["slug"]=> NULL ["desc"]=> string(342) " 伤寒病人并发肠穿孔后,肠道仙的粪便及细菌可进入腹腔,引起腹膜炎。穿孔前病人常表现有腹泻、明显腹胀或肠出血等。穿孔时突然出现右下腹剧痛,疼痛可局限亦可迅速波及全腹,伴恶心、呕吐、脉细速、呼吸急促、体温与血压下降,经1~2小时后腹" } ["origin":protected]=> array(28) { ["id"]=> int(1080) ["site_id"]=> int(1) ["type_id"]=> int(42) ["title"]=> string(60) "伤寒并发肠穿孔有哪些临床表现,怎样救护?" 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伤寒并发肠出血的临床表现与出血量有关。当有少量肠出血时,病人可无症状或仅有轻度头晕、脉快,大便颜色呈深褐色,但有时很难用肉眼确定,可留大便到医院做潜血试验,结果阳性证明有肠出血。当中等量肠出血时,大便颜色及性状像铺马路用的柏油(故称柏油样便)或像果酱样。大便呈咖啡色或血便,常提示有大量肠出血,病人可出现面色苍白、脉细速、口渴、烦躁、出冷汗、四肢冰凉、体温低、血压下降等休克表现,此时陪护者切勿惊慌失措,首先应让病人绝对卧床,禁饮食及口服药物,病人住在医院时应及时报告医护人员采取止血、抗休克等急救措施。住在家中的病人应立即由专人护送到附近医院急救。注意路途中使病人保持平卧。病人有焦虑和恐惧时可加重出血,应及时安慰病人,给予情感和心理支持,使其有安全感。四肢冰凉者可加盖棉被,脚底放热水袋保暖。认真记录病人大便次数、性状、量及尿量,以评估出血量,为诊断治疗提供依据。