Abdominal pain after violence

Introduction Abdominal pain after violent action is one of the symptoms of liver rupture. Liver rupture is a common disease in abdominal trauma, and right liver rupture is more than left liver. Abdominal trauma is a common and serious trauma in both normal and wartime. Its incidence rate is about 0.4% to 1.8% of all kinds of injuries in normal times; it accounts for 5% to 8% in wartime. In the war, it is 4%. The first aid for abdominal trauma patients is the same as the first aid for other organ injuries. It should be checked to see if there is any immediate life-threatening condition and should be dealt with promptly.

Cause

If there are fractures in the extremities, they should be initially fixed before moving. Before the occurrence of shock, active prevention of shock, such as winter warmth, summer heatstroke prevention, keeping the wounded quiet, pain relief (unresolved anaesthesia and other analgesics before clear diagnosis) and replenishing fluid, when shock occurs, rapid blood transfusion, infusion, to recover as soon as possible Blood volume, so that blood pressure rises, the input vein is best to use the upper limb first, because in the abdominal injury, there may be vascular damage of the inferior vena cava system, blood transfusion with the lower extremity may increase the possibility of internal bleeding. When a wound is found in the abdomen, it should be bandaged immediately.

an examination

Related inspection

Abdominal CT abdominal plain film

Sudden bleeding caused by external violence or sharp stab wounds. When the liver is swollen due to a lesion, it is more susceptible to injury when subjected to external force. Hepatic injury often has severe hemorrhagic shock, and biliary peritonitis and secondary infections are caused by bile leakage into the abdominal cavity.

Differential diagnosis

Differential diagnosis of abdominal pain after violent action:

1. Chronic abdominal pain: Chronic abdominal pain is a kind of abdominal pain that is relatively slow onset, has a long course of disease, or is secondary to acute abdominal pain. Its positioning is relatively accurate.

2, emotional abdominal pain: the former people think that only adults will suffer from emotional diseases, and children, especially infants and young children, they are not sensible, "heart disease" is not put on their heads. But now medical research has found that "heart disease" can also be entangled in children. Mental pain is one of them. This kind of abdominal pain often occurs due to mood swings.

3, exercise abdominal pain: some people who do not exercise regularly, exercise less than 15 minutes will feel abdominal pain, and even some people will have abdominal pain in the rush to go quickly, rest for a while naturally improved.

Sudden bleeding caused by external violence or sharp stab wounds. When the liver is swollen due to a lesion, it is more susceptible to injury when subjected to external force. Hepatic injury often has severe hemorrhagic shock, and biliary peritonitis and secondary infections are caused by bile leakage into the abdominal cavity.

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