Gut
Introduction
Introduction It can be seen in intestinal paralysis, which affects the balance of the intestinal plant gods due to various reasons, or affects the local nerve conduction in the intestinal tract, or affects the contraction of the smooth muscle of the intestine, so that the intestinal tube expansion and peristalsis disappears, and the intestinal contents cannot be Push forward and then cause. Paralytic tympanic bowel is a common symptom of sepsis after burns, which can be accompanied by changes in consciousness. The wound surface can be deteriorated for a short time, the color is dark, the necrotic foot and the secretions are increased, and bleeding is easy. The disease is mostly caused by exogenous sensation, injury to Taiyin, Yangmingjing, resulting in poor blood and abdominal gas.
Cause
Cause
Due to mechanical trauma, intestinal obstruction after abdominal surgery, peritonitis, endotoxin and other factors caused by severe peritoneal hemorrhage, extensive edema, exudation of large amounts of fluid, the intestine is immersed in inflammatory exudate. Peritoneal wall and visceral peripheral nerves are inhibited, resulting in weakened or disappeared intestinal peristalsis.
Examine
an examination
Related inspection
Bowel sounding
Typical symptoms of intestinal paralysis are: persistent abdominal pain, stomach, small intestine, colon, flatulence, inability to eat, loose stools, less urine, dry mouth and cleft lip, yellow greasy tongue or relief, severe bowel sounds disappear, vomiting Fecal smell.
Make the appropriate inspection items based on typical symptoms.
Diagnosis
Differential diagnosis
Intestinal paralysis needs to be identified as follows:
Intestinal paralysis soft palate: patients with hypokalemia nephropathy have systemic manifestations of hypokalemia, such as limb weakness, intestinal paralysis and soft palate.
Hypokalemic nephropathy: chronic interstitial nephritis or kidney disease caused by persistent hypokalemia, also known as kalium-losing nephropathy. The severity depends on the extent and duration of potassium deficiency. The clinical manifestations are mainly urinary concentrating dysfunction, but it is rare in clinical practice.
Paralytic ileus: also known as non-dynamic intestinal paralysis, which affects the balance of the intestinal autonomic nervous system or affects the local nerve conduction in the intestine or affects the contraction of the smooth muscle of the intestine due to various reasons. The contents of the intestines are pushed forward and caused.
