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伤寒并发肠穿孔有哪些临床表现,怎样救护?

发布时间:2009-11-04 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(1081) ["site_id"]=> int(1) ["type_id"]=> int(42) ["title"]=> string(51) "怎样护理急性血行播散型肺结核病人?" ["subtitle"]=> string(0) "" ["shorttitle"]=> string(0) "" ["color"]=> string(0) "" ["img"]=> string(0) "" ["url"]=> string(39) "https://www.whsjytyy.com/view/1081.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(5144) ["status"]=> int(99) ["pubdate"]=> int(1257469906) ["create_time"]=> int(1507857162) ["update_time"]=> int(1507857162) ["delete_time"]=> NULL ["rank"]=> string(6) "987.00" ["slug"]=> NULL ["desc"]=> string(318) " 急性血行播散型肺结核又称急性粟粒性肺结核。多见于儿童和青少年,由于原发型肺结核病灶破溃,结核菌侵入血液,播散到肺或全身各器官、组织。成人多见于继发性肺结核或肺外结核病灶破溃到血管引起。   当患糖尿病、重" } ["origin":protected]=> array(28) { ["id"]=> int(1081) ["site_id"]=> int(1) ["type_id"]=> int(42) ["title"]=> string(51) "怎样护理急性血行播散型肺结核病人?" 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["subtitle"]=> string(0) "" ["shorttitle"]=> string(0) "" ["color"]=> string(0) "" ["img"]=> string(0) "" ["url"]=> string(39) "https://www.whsjytyy.com/view/1079.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(5099) ["status"]=> int(99) ["pubdate"]=> int(1257210856) ["create_time"]=> int(1507857287) ["update_time"]=> int(1507857287) ["delete_time"]=> NULL ["rank"]=> string(6) "985.00" ["slug"]=> NULL ["desc"]=> string(346) " 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" } ["origin":protected]=> array(28) { ["id"]=> int(1079) ["site_id"]=> int(1) ["type_id"]=> int(42) ["title"]=> string(60) "伤寒并发肠出血有哪些临床表现,怎样救护?" 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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小时后腹痛及其他症状缓解,体温迅速上升,并出现腹膜炎征象,表现为腹胀、持续性腹痛、腹壁发紧、用手按之有压痛,手突然放开疼痛加剧,表情痛苦,肠鸣音次数减少或消失,出现上述表现时,应怀疑肠穿孔。住院病人应立即医护人员,在家的病人时候应立即由专人护送到附近医院, 一经确诊,应禁饮食及口服药物,做胃肠减压,避免按摩腹部,取舒适的体位,予药物止痛、抗感染治疗。