's prevention and health care of penetrating ulcer

's prevention and health care of penetrating ulcer
Peptic ulcer penetrates stomach or the whole storey of intestines wall, is separated by the neighbouring tissue or organ, penetrating ulcer is seen more with ulcer of wall after the duodenum ball, it is generally acknowledged gastric ulcer is rare. Ulcer penetrate more pancreas or other neighbouring organs. Once reported one group at home because gastric ulcer did 152 therapeutic patients of surgery, enormous benign the intersection of gastric ulcer and 41 among them, to neighbouring the intersection of internal organs and 23 of penetrating etc., until to most large person who penetrates pancreas (19) ,Among them one is penetrated to the gallbladder at the same time, and to the number of the person who penetrates wall is one respectively behind the spleen, liver, gallbladder and belly. Zhongshan medical university enclose one institute the intersection of materials and report, penetrating ulcer account for 1%, ladies and gentlemen than 8: 1. 20 cases of duodenal ulcer in 35 cases of penetrating ulcer, 11 cases of gastric ulcer, compounding 4 cases of ulcer.
First, clinical manifestation
Penetrating clinical manifestation of ulcer, mainly because of penetrate and adhesion change the characteristic that ulcer aches, and because penetrate the difference of the neighbouring internal organs, and the radiation of different positions appears to ache. The range of pain is expanded, the intensity increases, lose original periodicity and rhythm, eat and also disappear with the analgesic effect against acid medicine. Because of seeing to the person who penetrates pancreas at most, so the patient have waists to have a backache more.
Peptic ulcer without complication has not radiated aching. Ulcer have a backache to the intersection of pancreas and the intersection of person who penetrate and radioactive waist, serious disease person pain is aggravated straighten one's back. When ulcer penetrates and enters the liver, gallbladder, pain radiates and causes the right shoulder back. Pain radiates and causes the left shoulder back while penetrating the spleen. When with forming intestinal adhesion sideways, pain radiates and causes the lower abdomen.
Upper abdomen tenderness often relatively obvious in the physical examination, range increases also, can even touch irregular the intersection of bag and piece on the upper abdomen in some cases, can be misdiagnosed as gastric carcinoma.
The inner mirror checks the position, size, depth that can observe the penetrating ulcer, and the situation of wriggling of part by judging the adhesion intensity, and contribute to distinguishing with simple benign ulcer.
Second, treat
Although chronic penetrating ulcer patient passes the strict drug therapy of internal medicine department, still often invalid. Case these must surgical the treatment, can also prove the benign ulcer of penetrability in the skill.
The end communicates with abdominal cavity, and the adhesion is penetrated into the neighbouring organ, or form parcels, called penetrating ulcer ' Or parcel punch) . Belong to chronically and punch.
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