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<td height="30" colspan="2" class="main_ArticleTitle" style="word-break:break-all;Width:fixed">下腹部疼痛有哪些原因?</td>
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<td colspan="2" bgcolor="FFE3F3"> 更新时间:2008-6-20 15:29:05 【字体:<a href="javascript:fontZoomA();" class="top_UserLogin">小</a> <a href="javascript:fontZoomB();" class="top_UserLogin">大</a>】</td>
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妇女下腹部疼痛有哪些原因?</P>
<P> 妇女下腹部疼痛可发生急性腹痛和慢性腹痛两种。 <BR> </P>
<P> (1)急性下腹部疼痛可由下开原因引起:盆腔脏器的急性炎症,如子宫附件炎,局限性肠炎;盆,腹部脏器的穿孔或破裂,如异位妊娠,卵巢囊肿破裂,胃,十二指肠溃疡,胃癌,阑尾炎,胆囊穿孔以及阑尾脓肿破裂,其中以异位妊娠破裂及阑尾穿孔脓肿常见。</P>
<P> (2)还有急性肠梗阻,腹部脏器的结石,盆腔部脏器的急性血运障碍,如卵巢瘤蒂扭转,输卵管积水扭转,肠扭转等,以及寄生虫,痛经,盆腹部外伤均可引起急性下腹部疼痛。 有的腹痛就在病灶部位或其附近,有的则与病灶部位不符合,并且随着病情的发展,腹痛的部位又有转变。</P>
<P> 腹痛又分为两种类型:</P>
<P> (1)痛觉所在部位即在病变脏器本身的脏器痛。</P>
<P> (2)向体壁放散的牵涉痛。前者亦可转为后者。妇科方面的急腹症多表现为脏器痛,如卵巢瘤蒂扭转,输卵管积水扭转。但也有先感觉腹痛在患部,以后病情发展又有变化者,所以应特别重视牵涉性疼痛。</P>
<P> 慢性腹痛以下腹钝痛及骶部疼痛为主。多为慢性子宫颈炎,慢性附件炎,慢性盆腔结缔组织炎,盆腔淤血症,子宫后位,子宫肥大症,子宫脱垂等所致。下腹钝痛,下坠感,腰酸等症状多在劳累后,久站,性交后及月经期加重。 相当一大部分慢性腰部疼痛与妇科病无关,例如骶骼关节劳损,腰肌劳损,椎间盘脱出及其他病变。应注意疼痛起始时间,强度,持续或间断情况,疼痛开始部位以后有无转变,扩大,拒按还是喜按,有无合并症状,如畏寒,发烧,恶心,呕吐,便秘,排气多,停经或月经紊乱及有无包块等。 腹部肌肉紧张,抵抗,压缩者多为炎症或出血所致:松弛者多系子宫肌肉收缩或泌尿系统病变。痛觉不仅取决于病变的刺激,还决定于机体的神经精神状态。</P>
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<td width="787"><li>上一篇文章: <a class='LinkPrevArticle' href='/Article/1413.html' title='文章标题:急性盆腔炎症状与疗法
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更新时间:2008-6-20 15:29:04'>急性盆腔炎症状与疗法</a></li><br>
<li>下一篇文章: <a class='LinkNextArticle' href='/Article/1415.html' title='文章标题:盆腔炎的预防以及调护
作 者:admin
更新时间:2008-6-20 15:29:19'>盆腔炎的预防以及调护</a></li></td>
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<p> 上海市妇女康复专业委员会委员,农工民主党党员,曾先后担任浙医大妇幼保健院妇产科医师、湖州市中心医院妇产科主任、湖州市第二届计划生育协会副会长,现任湖州阳光女子医院名誉院长、妇科主任。</p></td>
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