Acute intestinal obstruction

Obstruction is intestinal obstruction,From top to bottom barrier, showed sharp abdominal pain, vomiting, defecation, abdominal distension significantly. Intestinal stenosis is the main reason, swelling, peristalsis weakened intestinal blood circulation obstacles, and so on.
Obstruction can be changeable, causing difficulties in diagnosis and treatment. Obstruction of the acute abdomen surgery is one of the dovetailing extort intestinal obstruction if not promptly removed and can quickly lead to intestinal necrosis after perforation, peritonitis and a serious systemic poisoning, we must actively treatment.
(A) The etiology
(1) over eating and drinking or Ingestion undercooked not food.
(2) immediately after eating drastic movements and manual, resulting in intestinal torsion.
(3) the consequences of certain gastro-intestinal diseases such as intestinal tumor, intestinal tuberculosis, such as intussusception.
(4) abdominal surgery, acute peritonitis caused by intestinal paralysis.
(5) After the abdominal wall hernia incarcerated.
(2) clinical performance
1 intense abdominal pain over intestinal obstruction strong wiggle caused paroxysmal, patients groaning Montreal or not. Abdominal can see the shape and gastric intestinal peristalsis wave (abdominal drum packages, starting He Paper Fu).
2 repeated vomiting patients vomiting,stomach contents, bile, sometimes skatole kind intestinal contents.
3 abdominal distension of the obvious call for the drum sound.
4 stop defecation and the exhaust obstruction following individual high gas and fecal residue can be discharged.
Five other symptoms due to vomiting and toxin absorption, patients, there will be the symptoms of dehydration and shock. Intestinal perforation and necrosis after diffuse peritonitis performance.
6 X-ray examination of abdominal plain film X-ray gas-liquid can be seen flat, help diagnosis.
(C) the ambulance measures
1 lifting of intestinal obstruction reasons, the restoration of intestinal patency.
(1) of bumpy therapy, applied early volvulus, adhesion-induced intestinal obstruction.
Each successive 3? Five minutes, rest 1? Two minutes, at least 3? Four times, patients have euphoria, and then relieve symptoms, defecation flu. If invalid taken to the hospital for treatment as soon as possible.
(2) air enema reduction of oral or vegetable oil caused by the obstruction of intussusception in children effectively.
(3) surgery. Especially cutter extort intestinal obstruction and intestinal tumors caused by obstruction.
2 gastrointestinal decompression reduce gastrointestinal fluid and reduce abdominal distension, to prevent vomiting and can inject medicine.
3 intravenous infusion supplementary nutrition and water.
4 pain medicine and antiemetic generally does not work, not as far as possible.