How does abdominal cavity haemorrhage do?

summary

The pathological changes of various organs in the abdominal cavity damage the blood vessels, and rupture can lead to abdominal hemorrhage. Intraperitoneal hemorrhage is usually caused by rupture of parenchymal organs, the most common is rupture of spleen, followed by rupture of liver. Bleeding can cause bloody peritonitis, mild symptoms. The patient's general condition is not good, blood pressure is low, may have shock symptoms. Abdominal X-ray is necessary to check whether there is cavity organ rupture. Sudden fainting is a manifestation of hemorrhagic shock. Sometimes from the mouth, nose and other parts of the spray or overflow. How does abdominal cavity haemorrhage do?

How does abdominal cavity haemorrhage do?

Early diagnosis of abdominal hemorrhage: the diagnosis of closed abdominal hemorrhage, especially the early diagnosis, is difficult. The most important thing is to determine whether there is visceral injury and internal hemorrhage, which requires careful examination, repeated thinking and close observation by our medical workers. Some even need repeated examination, and the examination should be gentle and serious, So that the patients and their families cooperate closely. Among all the physical signs, abdominal muscle tension and tenderness, as well as the site mechanism of direct effect of external force, are quite critical. We should pay attention to distinguish them from abdominal wall contusion. The condition of patients with abdominal wall contusion is gradually alleviated at rest, and the pain is obviously related to postural activity. The condition of intra-abdominal hemorrhage is gradually aggravated, Blunt impact is more likely to cause rupture of the parenchymal organs, thus increasing the probability of internal bleeding.

The treatment of abdominal hemorrhage: according to the degree of bleeding and the urgency of decision (1) emergency treatment, such as abdominal aortic aneurysm rupture bleeding, should immediately blood transfusion rescue, whether surgery or interventional treatment by vascular specialist decision（ 2) Emergency treatment, such as rupture of liver and spleen, blood matching, gastric tube and other preoperative preparation, emergency operation（ 3) General infusion expansion, give hemostatic drugs, close monitoring. Prepare blood.

In addition to inflammatory lesions, most of the patients with abdominal hemorrhage need surgical treatment. Selective intra-abdominal arteriography can not only show the bleeding site, but also embolize the artery to stop bleeding. The emergency operation preparation is sufficient, the blood source is explored after laparotomy, the bleeding lesions are found, and the corresponding treatment is carried out. It includes excision of the bleeding focus, ligation of the related artery or gauze pad compression to plug the ruptured wound.

matters needing attention

Abdominal hemorrhage is a serious disease, if not timely hemostasis or treatment, may cause the impact of life in patients, so the emergence of abdominal hemorrhage, it is best to go to the regular hospital for timely treatment. In daily life, to maintain a good mood, appropriate physical exercise, diet should pay attention to light, should not eat spicy, greasy food.