总是半夜来“敲门”,急性胆囊炎把你折腾坏了吧

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公开课模版测试文章(编辑别推)

徐智

北京大学第三医院普通外科主任医师

急性胆囊炎的病因是什么?

急性胆囊炎的病因,最多见的还是胆囊结石。在排胆汁或者睡觉的过程中,结石可以移动到胆囊颈部或者胆囊管,引起急性胆囊炎。 

其他因素主要有:(1)化学因素,比如消化道的液体可以反流到胆囊,引起急性胆囊炎;(2)胆囊息肉、胆囊肿瘤;(3)胆道的急性炎症,比如胆管炎、胆源性胰腺炎等。


急性胆囊炎主要有哪些症状?它的腹部疼痛的特点是什么?

急性胆囊炎的全身表现主要是发烧,同时可能伴随有乏力、厌食、头晕、头胀等不适症状。局部表现则主要是在消化道,比如恶性的呕吐


(1)胆囊位于右上腹或者剑突下,因而会引起右上腹和剑突下的疼痛

(2)胆囊肌肉强烈收缩时,可引起上腹部持续性、痉挛性甚至阵发性的疼痛

(3)胆囊、心脏、肩部的神经支配是连在一起的,可引起肩部和心前区疼痛


急性胆囊炎有什么体征?

局部体征表现为患者右上腹压痛明显,且有肌紧张反跳痛。约25%的患者可触及肿大胆囊,患者在深吸气或咳嗽时,放于右肋下的手指会触到肿大的胆囊,患者会因疼痛突然终止吸气(murphy征)。

更多相关视频:

小病不治大病受苦 胆结石拖着不治会癌变吗?

胆结石真是事儿多,如何及时“降服”?

大胆!你竟然要切了我的“宝贝”?

听说,切除胆囊后你的肚子会“发脾气”?

中药、针灸能“彻底消灭”胆结石吗?

为什么胆结石会如此“重女轻男”?

小小石头竟有多副面孔 胆结石的分类全在这里了!

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