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[腹部直肌破裂诊断中的错误]

[Errors in the diagnosis of ruptures of the straight muscle of the abdomen].

作者信息

Raĭkevich N P

出版信息

Vestn Khir Im I I Grek. 1975 Mar;114(3):98-100.

PMID:123380
Abstract

Based on study of the clinical picture of ruptures of straight abdominal muslces in 9 patients, it is considered that this pathology is considered to occur in males as frequently as in females, a spontaneous rupture being observed more frequently in females over 40 years of age, who had multiple deliveries previously and show arterial hypertension. The man signs of spontaneous or traumatic rupture of straight muscles are as follows: a sudden onset of pains conditioned by hematoma, pressure on the parietal peritoneum, in palpation a detection of tumor in the tumor in the region of m. rectus abdomins that would not disappear in abdominal tension; and also intensification of pains in the hematoma region in elevating the head in a supine position. As a rule, the body temperature is normal, but the leucocyte count may be somewhat increased. Usually, such patients are treated conservatively. Surgical intervention seems to be indicated only in organization of hematoma or its suppuration.

摘要

基于对9例腹直肌破裂患者临床表现的研究,认为这种病理情况在男性和女性中发生率相同,40岁以上有多次分娩史且患有动脉高血压的女性更易出现自发性破裂。腹直肌自发性或外伤性破裂的主要体征如下:由血肿引起的突发疼痛、对壁腹膜的压迫、触诊时在腹直肌区域发现肿块且该肿块在腹部紧张时不消失;仰卧位抬头时血肿区域疼痛加剧。通常,体温正常,但白细胞计数可能略有增加。一般来说,此类患者采用保守治疗。仅在血肿机化或化脓时才考虑手术干预。

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