Perforated ulcer disease of the clinical manifestations

Gastroduodenal perforation in patients with acute 80 percent have a 90 percent ulcer history, and perforated ulcer disease before symptoms often relapse and increased performance. Abdominal pain is perforated ulcer disease the most prominent symptoms. Perforation occurred, Tugan patients with severe pain in the abdomen, was continuing Daoge kind or tear-like pain, paroxysmal intensified. Abdominal pain since the beginning, the rapid spread of the entire abdomen and right lower abdomen, about 1 / 3 of patients with radiation to the right shoulder pain can be. About half of patients with perforated ulcer after reflection of the often cause nausea and vomiting, vomit for more food debris and gastric juice, mixed with bloody or coffee-like liquid, such as intestinal illness led to the development of paralysis, vomiting will be more serious. After piercing the fierce stimulate patients often can cause irritability, looking pale, cold limbs, plastic, palpitations, sweating, decreased body temperature, pulse by rapid decline in blood pressure and other symptoms of shock. Perforation 1-5 hours, some patients because of increased peritoneal exudate, the dilution of stomach contents into the abdominal cavity of the above symptoms can have different degrees of ease, abdominal pain and tension has reduced, shock symptoms also improved on its own, But still very obvious tenderness. At this time of misdiagnosis or missed easy. Perforation of 10-12 hours later, with peritoneal exudate absorption and secondary bacterial infection, if not promptly treated patients with serious, to be able to enter advanced peritonitis, a shiver, high fever, or even toxic intestinal paralysis, sepsis , Sepsis and ultimately died because of toxic shock. The elderly and frail patients with perforation of the response and tolerance of young patients with different. Its not very obvious symptoms of abdominal pain and severe, but vomiting, abdominal distention heavier, easy to shock, rapid development of disease and poor prognosis, vigilance must assign.