Hit a girl in the stomach

Women's stomachs are very fragile. If hit by external force or violence, it is very likely to injure women's abdomens, causing serious damage to the internal organs in the abdomen, and eventually leading to acute gastroenteritis or adnexitis and other diseases. Many gynecological diseases will manifest as clinical symptoms of abdominal pain before they occur, so they should be taken seriously.

Common causes

1. Acute and chronic inflammation of abdominal organs: acute gastroenteritis, acute cholecystitis, acute appendicitis, chronic gastritis, inflammatory bowel disease, etc.

2. Perforation or rupture of abdominal organs, such as perforation of gastric and duodenal ulcers, rupture of the liver, rupture of the spleen, rupture of ectopic pregnancy, etc.

3. Obstruction or dilatation of abdominal organs, acute intestinal obstruction, incarcerated inguinal hernia, intussusception, cholelithiasis, kidney and ureteral stones, etc.

4. Abdominal organ torsion, acute gastric torsion, ovarian cyst pedicle torsion, omentum torsion, intestinal torsion, etc.

5. Intra-abdominal vascular obstruction: acute obstruction of the mesenteric artery, acute portal vein thrombosis, dissecting abdominal aortic aneurysm, etc.

6. Increased capsule tension can cause liver congestion, hepatitis, liver abscess, liver cancer, splenomegaly, etc.

7. Gastrointestinal motility disorders: gastroparesis, functional dyspepsia, hepatic flexure and splenic flexure syndrome.

8. Abdominal wall diseases: abdominal wall contusion, abdominal wall abscess and abdominal wall herpes zoster, etc.

9. Chest diseases: acute myocardial infarction, acute pericarditis, angina pectoris, pneumonia and pulmonary infarction, etc.

10. Systemic diseases and other rheumatic fever, uremia, acute lead poisoning, porphyria, abdominal allergic purpura, abdominal epilepsy, etc.

Physical examination

1. Physical examination to understand the patient's general condition, including the patient's consciousness, body temperature, pulse, respiration, blood pressure, skin, body position, expression, facial appearance, etc. For example, patients with acute abdominal pain often flex their lower limbs to relieve pain.

2. Abdominal examination (1) Visual examination: The abdomen should be fully exposed to facilitate comprehensive visual examination. Observe the abdominal shape, intestinal type, intestinal peristaltic waves, varicose veins of the abdominal wall, the presence of rashes, the presence of lumps in the groin, etc. (2) Palpation: Before the examination, ask the patient to lie flat with his knees bent. Pay attention to the location, range, degree and most prominent area of ​​tenderness, rebound pain and muscle tension. (3) Percussion: Percuss the abdomen to check for tympanic sounds, shifting dullness, disappearance of the liver dullness boundary, and tenderness in the liver, spleen, or kidney areas. (4) Auscultation: To understand whether there are hyperactive or weakened bowel sounds, sounds of air passing through water, or metallic sounds, etc.

3. Other rectal examinations are used to understand the condition of the rectouterine pouch. Married women should undergo gynecological examination to find out whether they have cervical pain, etc. Check supraclavicular lymphadenopathy to exclude intra-abdominal tumors.