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789
胰脏发炎通常是胆道或胆管疾病引起,饮酒过量的问题也不少,代谢改变三酸甘油酯过高、医疗行为、药物疾病都有可能。
担任业务工作的小唐,为了求得好表现免不了得经常交际应酬,最近和朋友聚餐时,几顿大鱼大肉加上烟酒不忌,这天他正准备回家的时候,突然上腹部严重疼痛,整个肚脐周围痛到不得了,本想说躺下来休息一下就会好,没想到平躺情况更糟,除了肚子疼痛难耐之外,又出现恶心、想吐症状,同事一看事态严重,赶快将他送到医院,经过检查确定是急性胰脏炎发作。
在诊间因为急诊前来求助的都是急性胰脏炎!上述例子中的小唐,就是典型急性胰脏炎个案。病人会明显且长时间在上腹部剧烈疼痛,有人甚至还会辐射至整个后背部疼痛,这必须视病人病变的位置而定,发作多是突发且持续性的,不会因为病人休息或是变换动作而减轻疼痛程度。
胰脏发炎的疼痛感和溃疡性穿孔及肠堵塞等痛的方式不同,而且透过触诊和X光检查,轻易就能分辨。有些胰脏发炎病人还会出现恶心、呕吐、腹胀,甚至伴随有发烧、心搏加速、呼吸短促等,发作时有一定的危险性,不可轻忽。
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