Only 3 days from "stomach pain" to death!This tragedy sounds the alarm for everyone!

Many people think that when they hear their stomach pain, they think they must have eaten their stomachs, and they have nothing to do.

In fact, there are more causes of stomach pain, and the pain characteristics of each cause are not the same. Sometimes a small stomach pain can also hide fatal problems.

On September 14, Xu Hao, the attending doctor of neurosurgery at the First Affiliated Hospital of the University of Science and Technology of China, shared a case on his personal WeChat public account, from "stomach pain" to only 3 days of death.

Only 3 days from "stomach pain" to death!

At 5 pm on the Mid -Autumn Festival, there was a family of three in the clinic. The man covered his stomach and could see that his stomach had a bad stomach.

The doctor asked about it that the family had spent the Mid -Autumn Festival together that day, ate moon cakes and pomegranates in the morning, drank a lot of wine at noon, and ate some seafood. At about 2 pm, the stomach started to hurt. At first, I thought I was going to stool, and who knew that I fainted in the toilet. Although it was pulled out later, abdominal pain was still not relieved, and I came to the hospital after three hours of abdominal pain.

Men's wife's demand is very simple: the husband is just a crime of gastroenteritis, and he has to go to the holiday (eating reunion meal) at night. Try to diagnose and treat it quickly, just simply infusion.

Doctors can see that this is obviously not ordinary gastroenteritis, because patients not only have no symptoms of diarrhea, but also have tenderness in the abdomen in the abdominal examination.

The patient claims that he has abdominal colic and pain is very strong, but ECG, stool routine, and blood routine are all in the normal range.

When the doctor was still considering doing the next examination, the patient's pain increased, and his legs were also painful. After investigation, he found that his femoral artery was weak.

At this time, the doctor had initial doubts. Thinking that the problem may be very serious, the doctor suggested that in place: "You can do a strengthening CT, so that you have to do other inspections and save time."

When I heard that it could end soon, the patient's wife didn't agree.

It is not optimistic to strengthen the CT results: obvious aortic endometrial torn can be observed in the aortic cavity, and the aortic endometrium can be seen locally.

To put it bluntly, the abdominal aortic semiration.

The abdominal aorta clads are critical emergency in cardiovascular disease. Once the abdominal aortic clayr is ruptured and bleeding, the patient's mortality rate within 48 hours is as high as 50%. In other words, after the abdominal aorta is broken, patients will be in danger at any time.

Now, the real cause of abdominal pain has been found. Although it has repeatedly emphasized the danger with the other party, the patient's family is not moving, and he insists on going home for a reunion meal at Mid -Autumn Festival.

The doctor persuaded the family members of the patient to be impatient again and over again.

Unexpectedly, the first day after the holiday, the doctor said in WeChat group that the 35 -year -old patient still died. On the last day of the Mid -Autumn Festival holiday, due to the rupture of the abdominal aorta and bleeding, after the heart rate was accelerated and the blood pressure decreased, it fell into shock and died after rescue.

In the end, he paid the price for his own and his family.

Dr. Xu Hao said that the abdomen gathered many organs in the body, so not only the disease of the abdominal organs can cause abdominal pain, but the abdominal cavity and systemic diseases can also cause abdominal pain.

Acute abdominal pain: acute appendicitis, acute gastroenteritis, and acute pancreatitis can cause acute abdominal pain. Intestinal twisting, ovarian cysts and digestive tract perforation can also cause acute abdominal pain.

Chronic abdominal pain: Crohn's disease, intestinal excitement syndrome, liver abscess, digestive ulcer, liver cancer, and colon cancer can cause chronic abdominal pain.

In addition, abdominal aortic aneurysm, myocardial infarction, pulmonary infarction, angina pectoris and uremia, heart failure, etc. will also have abdominal pain.

Different abdominal pain causes different causes

Chen Feng, deputy chief physician of the emergency center of the Sichuan Provincial People's Hospital, was introduced in the Chengdu Business Daily Sichuan Medical Public Account in June 2022. It can be roughly divided into the following 9 areas. Happening.

First row: upper abdomen pain

Area 1: Right upper abdomen

The upper right abdominal pain is mainly the problem of gallbladder, bile duct, and liver, such as bile duct stones, gallbladder stones, and liver abscess.

Area 2: Middle and upper abdomen

The pain in the middle and upper abdomen is mainly caused by the stomach, such as gastric ulcers, duodenal ulcers, or gastric perforation. In addition, diseases such as cholecystitis and pancreatitis may also occur in the middle and upper abdominal pain.

Area 3: Left upper abdomen

The pain in the left abdomen is mainly the diseases of the pancreas, such as pancreatitis. Or the spleen problem, such as spleen rupture.

Second row: pain in the abdomen

No. 4, No. 6 area: right middle abdomen, left mid -abdomen

These two places are mainly caused by colon and spleen problems.

Area 5: Middle and Middle Abdomen

It is the pain around the belly button and the center of the abdomen, which is usually caused by the pain caused by small intestinal problems.

Third row: lower abdomen pain

No. 7 area: right lower abdomen

The lower right abdominal pain is mainly caused by appendicitis. In addition, ureteral stones, fallopian tubes, ectopic pregnancy, etc. can also cause pain in the right lower abdomen.

No. 8 area: middle and lower abdomen

The pain in the middle and lower abdomen is mainly caused by pelvic cavity and uterine lesions, such as pelvic inflammatory disease, uterine fibroids, etc.

No. 9 area: left lower abdomen

The left lower abdomen is mainly the problem of the stones of the ureter, the fallopian tube, or the pain caused by the uterine accessories such as luteum rupture.

Of course, pain in the left lower abdomen and right lower abdomen may also be caused by colon tumors.

Don't care, these diseases can also cause belly pain, Dr. Chen Feng said that some diseases can also cause abdominal pain.

1. Stomach pain caused by vascular causes

The pain of the abdominal organs may also be the cause of blood vessels. For example, the aorta clay can cause back pain and severe pain in any position of the abdomen.

2. Stomach pain caused by obstruction and embolism

Intestinal obstruction, intestinal membrane arterial embolism, etc., can also cause abdominal pain.

3. Stomach pain caused by myocardial infarction and thoracic effusion

Myocardial infarction can cause middle and upper abdominal pain; the thoracic effusion can cause upper abdomen pain on the left or right.

4. Stomach pain caused by whole body disease

There are some systemic diseases, such as platelet reduction purpura, can also cause abdominal pain, and it will also be accompanied by pus and blood.

4 types of special groups must be vigilant

1. Children's abdominal pain

When children are playing, they are easy to unknowingly eat foreign bodies into their stomachs. When the stomach is painful, I dare not tell the parents, and some children don't remember to swallow in the west.

Zhang Zhongxi, chief physician of children's surgery in Xiamen Children's Hospital in Fujian Province, reminded the children in the Health Times in 2018. When children say that abdominal pain, parents must take them to the hospital for examination in time. Once you find that you eat a foreign body by mistake, do not deal with it at home. You should go to the hospital for examination in time. In the early days, you can remove it under the gastroscopy.

2. Menopause women abdominal pain

Bai Wenpei, chief physician of the Gynecology of Beijing Century Hospital, said in the Health Times in 2019 that ovarian tumors are divided into two types: benign and malignant, of which about 10%of the vicious people. Women who have high incidence of about 50 years old have no obvious symptoms in the early stage. In the late stage, there are symptoms of abdominal distension, abdominal mass, diarrhea or constipation, and abdominal pain, low back pain or lower limb pain, lower limb swelling, and irregular vaginal bleeding.

But these symptoms are not typical, so it is difficult for individuals to be vigilant early. If your family (mother or sisters) has the history of ovarian malignant tumor disease, and you have similar symptoms, you should seek medical treatment in time.

3. Abdominal pain in patients with diabetes

Zhang Niya, chief physician of the Department of Endocrinology, Jiangsu Provincial Traditional Chinese and Western Medicine Hospital, said in the Health Times in 2018 that sugar friends must be vigilant or keto acid poisoning.

Diabetic ketoic acid poisoning is a common acute complication, which often manifested as drinking and dysplasia, physical strength and weight loss; decreased appetite, nausea, and some patients have abdominal pain; rapid breathing, some patients have similar apple smells in breathing; Symptoms of dehydration and shock.

4. Abdominal pain after surgery

Yao Sheng, chief physician of the Fourth Medical Center of the General Hospital of the PLA General Hospital, introduced in the Health Times in 2013 in the Health Time News that peritoneal adhesion syndrome is a sequelae after abdominal surgery. I often encountered it in outpatient clinics and received 3 cases in one month. Essence

The pain caused by peritoneal adhesion syndrome is mostly centered on the original surgical wound area, which is scattered around the surrounding area. It is dull pain, often accompanied by a sense of pulling and bloating, and most of them occur for one or two years after surgery.

All in all, there are many causes of abdominal pain, the condition is complicated and changing, and abdominal pain is great. Be sure to take a doctor in time to cooperate with the doctor to check and treat to prevent accidents from emerging.

Source: Health Times

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