Hemoperitoneum

Introduction Abdominal organs are ruptured under the disease of their own disease or external force, and hemorrhage can be confirmed by abdominal puncture. The liver is the largest substantial organ in the abdominal cavity and carries important physiological functions of the human body. Hepatocytes are poorly tolerant to hypoxia, so hepatic arteries and portal veins provide a rich blood supply, and large and small bile ducts and blood vessels accompany bile. It is located deep in the right upper abdomen and has protection from the lower chest wall and diaphragm. However, due to the large size of the liver and the fragility of the liver, intra-abdominal hemorrhage or bile leakage may occur if it is easily damaged by violence.

Cause

Cause

1. Under the injury of its own disease or external force, the abdominal organs rupture and the blood accumulates in the abdominal cavity. If it is invasive hemorrhage, hemostatic drugs and antibiotics should be used. When there is more blood, the blood clot should be removed.

2, may be some bacteria, especially anaerobic bacteria or viruses and other potential deep reproductive organs as a conditional pathogenic microorganisms, in the gynecology, family planning surgery, pregnancy or childbirth, easy to cause imbalance of the body's immune system, causing inflammation of the fallopian tube, making the blood vessels Increased permeability leads to rupture of blood vessels in the interstitial layer.

an examination

Related inspection

Abdominal perspective abdominal vascular ultrasound examination abdominal plain film abdominal CT abdominal MRI examination

Clinical manifestation

Symptoms: no abdominal distension; symptoms of acute anemia; abdominal pain, increased activity; severe abdominal pain; fixed abdominal pain; fever.

Signs: peritoneal signs, abdominal muscle stiffness, no abdominal distension, abdominal tenderness, diffuse abdominal tenderness, diastolic percussion, progressive blood pressure drop, lower blood pressure, bowel sounds disappear.

I. Screening measures

1. White blood cell count, red blood cell count, serum unconjugated bilirubin measurement, lactate dehydrogenase measurement, hemoglobin measurement, platelet count, and serum total bilirubin measurement.

2, abdominal cavity puncture examination of ascites: albumin measurement.

3. Upper gastrointestinal radiology examination.

Second, laboratory testing

1, blood test: white blood cell count increased, hemoglobin decreased, platelet count increased.

2, clinical chemistry test: unbound bilirubin increased, unconjugated bilirubin increased, combined with bilirubin normal, lactate dehydrogenase increased, serum bilirubin increased.

3, body fluid secretion excrement check:

Ascites: increased albumin and increased red blood cells.

3, imaging examination: X-ray gastrointestinal examination: gastric retention.

Third, operational inspection

Abdominal puncture bloody free liquid puncture: bloody ascites.

Differential diagnosis

Clinical manifestation

symptom

No abdominal distension, abdominal pain, acute anemia symptoms, abdominal pain, increased activity, severe abdominal pain, fixed abdominal pain, fever.

Sign

Peritoneal signs, abdominal muscle stiffness, no abdominal distension, abdominal tenderness, diffuse abdominal tenderness, diastolic percussion, progressive blood pressure drop, lower blood pressure, bowel sounds disappear, acute abdomen, diagnostic measures, white blood cell count, puncture examination , serum unconjugated bilirubin measurement, upper gastrointestinal radiology, hemoglobin determination, platelet count, complications of ascites, peritoneal adhesions, progressive internal hemorrhage.

Diagnostic measures

White blood cell count, puncture examination, serum unconjugated bilirubin measurement, upper gastrointestinal radiology, hemoglobin measurement, platelet count, complications of ascites, peritoneal adhesions, progressive internal hemorrhage.

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