Beda B Y, Adom A H, Boutros-Toni F, Diallo A D, Niamkey E K, Odi A R, Ouattara D, Yangni-Angate Y, Kadjo K, Djakoure S
Service de Médecine Interne, CHU d'Abidjan-Treichville.
Rev Med Interne. 1993 Feb;14(2):89-92. doi: 10.1016/s0248-8663(05)81257-3.
Pain induced by pinching the peritoneum betrays a pathology of that membrane. It is absent when the peritoneum is perfectly healthy. Pain is elicited by a special palpation technique. Clinically and statistically, the presence of this pain is pathognomonic, but it does not inform on the aetiology. In the present study the most frequent causes of positive abdominal peritoneal pinching test were peritoneal tuberculosis, followed by portal hypertension with or without liver cirrhosis.
捏压腹膜引起的疼痛提示该膜存在病变。当腹膜完全健康时则不会出现这种疼痛。通过一种特殊的触诊技术可引发疼痛。在临床和统计学上,这种疼痛的出现具有诊断意义,但它并不能提示病因。在本研究中,腹部腹膜捏压试验阳性最常见的原因是腹膜结核,其次是伴有或不伴有肝硬化的门静脉高压。