{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1848","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1848","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"","keywords":"普外科","title":"普外科","channels":null},"data":{"list":[{"id":"2906","isDel":0,"createAt":1486653295007,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"下肢静脉曲张症状特征有什么","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">　　下肢静脉曲张这样的疾病属于一种慢性疾病，一旦出现下肢静脉曲张我们需要重视早发现早治疗，千万不要拖延了治疗的时间。争取使每一个下肢静脉曲张疾病患者早日得到康复。小编来介绍下肢静脉曲张症状特征有什么?</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　原发性静脉曲张的位置和程度与局部静脉内压力高低及管壁厚薄不同有关。由于病变的逐渐发展，其早期临床表现是以症状为主，后期则以曲张的静脉表现和产生的并发症为主。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　病变下肢常感酸胀不适、沉重或疼痛，易疲劳。行走或平卧时，由于腓肠肌收缩的挤压作用，血液易于回流，静脉内压力降低，症状缓解。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　曲张静脉先行扩张隆起，进而弯曲，从而引起瓣膜闭锁不合，而更增加其严重性。长久之后，中层肌肉为结缔组织所代替，管壁变薄，扩张静脉可成为结节状。大隐静脉曲张主要分布于下肢内侧，并延伸至前肌和后面。由于小腿大隐静脉管径较小，管壁较薄，所承受的压力比大腿压力为高，故其程度与范围都较大腿为重，其分支比主干更为严重。大腿静脉明显曲张时，往往提示其主要瓣膜功能不全。如发生在大腿外侧面，则显示股外侧浅静脉瓣膜功能不全;若发生在大腿后内侧，则显示股浅内静脉瓣膜功能不全。小隐静脉曲张主要分布在小腿后面和下部，并延伸至外侧和足背。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　后期并发症：①静脉曲张性静脉炎：这主要是由血流缓慢所致，但亦可因外伤引起。②溃疡形成：由于静脉长期淤血，血液含氧量降低，毛细血管渗透性增加，液体外渗，组织水肿，局部抵抗力降低，因轻度外伤而发生溃疡。这种溃疡常发生在内踝上部和小腿内下1/3处，其周围组织变薄，色素沉着，或有湿疹样改变，较难愈合。③淤滞性皮下硬化症：由于踝上交通支瓣膜功能不全，血液倒流加重，下肢淤血,结缔组织增生，在皮下组织内形成淤滞性硬化表现。或皮肤因血液循环障碍而发生退行性改变，表现为脱毛、皮肤光薄发亮、脱屑、色素加深等，也可由毛细血管破裂而出血有血色素沉着。④出血：由于皮肤退行性病变而变薄，难以支持其下静脉承受腔内高压，或者是因外伤而引起大出血。亦有因细静脉损伤而引起皮下出血者。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　下肢静脉曲张的形态具有鲜明特征，诊断并不困难，但有时患者是以并发症为主，此时应进一步检查，以做出静脉曲张和并发症的诊断。由于下肢静脉曲张可以继发于其他疾病，因此在静脉曲张的诊断确立后，还应进一步追查病因以区别静脉曲张是原发性的抑或是继发性的。在确定为原发性浅静脉曲张后，尚需通过检查，如浅静脉功能试验、交通支瓣膜功能试验和深静脉功能试验等以明确病变类型，进行正确的治疗。</p>\n<p>&nbsp;</p>","barId":"1671","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1925,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486653295008,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486653295007,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"1475","isDel":0,"createAt":1486653132055,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"脉管炎的早期症状有哪些","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">　　脉管炎给患者带来的危害非常大，如果不能及时采取治疗，将会面临截肢的危险，让患者痛苦不堪。由于脉管炎的早期症状表现并不是很明显，所以很难发现，导致患者不能在第一时间去进行治疗。下面我们就来说一下脉管炎的早期症状有哪些。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　脉管炎是一种常见血管炎症，这种疾病在寒冷北方发病率较高，这是因为寒冷、吸烟、外伤感染等等因素，都是脉管炎的病因要素，脉管炎发生以后，患者在前期表现为，脉管炎患者出现肢体末端发凉、怕冷、麻木、轻度疼痛，间歇性跛行等症状。脉管炎患者的趾部皮色变苍白，皮肤温度低，脉管炎患者末梢动脉波动减弱或消失，部分脉管炎患者可反复出现，游走性血栓性浅静脉炎，具体说来，脉管炎的症状，主要表现在以下几个方面。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　第一、皮肤色泽改变。脉管炎患者的患肢在患病后，因动脉缺血使皮色异常苍白，由于浅静脉张力减低，皮肤在苍白的基础上也会出现潮红或青紫，患者在肢体下垂时更为明显。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　第二、发凉和感觉异常。脉管炎患者的患肢发凉、怕冷，对寒冷十分敏感，尤其以趾端最为明显，患者因神经末稍受缺血的影响，患肢可出现疼痛感、针刺感、麻木感、烧灼感等异常感觉。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　第三、疼痛。脉管炎一旦发病后，患者就会感觉到疼痛，在早期脉管炎患者，一般在一定的速度下，行走一定的路程，会感到小腿或脚掌酸困、疼痛，被迫休息或慢走才能缓解，早期脉管炎患者的疼痛较轻，而到了晚期，患者病情加重，脉管炎患者的疼痛也将会加重。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　第四、动脉搏动减弱或消失。脉管炎患者随着病情的不断发展，足背及胫后动脉搏动消失或减弱，同时皮肤干燥、破裂，汗液停止，无汗毛，指(趾)甲增厚、变形，形成甲沟炎等营养障碍。</p>\n<p>&nbsp;</p>","barId":"1671","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1688,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486653132056,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486653132055,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"3835","isDel":0,"createAt":1486652972676,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"不同肝脓肿的常见临床表现有哪些","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">　　生活中出现了很多疾病，而每个疾病都非常复杂，不仅分类有很多，而症状也不相同。肝脓肿是一种由于细菌感染而引起的疾病，而且这种疾病的发生部位是在人们的肝部，危害也是不容忽视的，所以建议大家多了解一下这种疾病，千万不要来个措手不及。而同时这种疾病也是有不同的类型的，而且它们的相关临床症状也有所不同，下面我们就来给朋友们详细的介绍一下吧。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　<strong style=\"color: #333333;\">1.阿米巴肝脓肿</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(1)常伴有阿米巴痢疾或慢性腹泻史。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(2)临床表现为不规则的长期发热，伴有恶寒、大汗、右上腹或右下胸疼痛，局部可有饱满及压痛，肝脏肿大而有压痛。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(3)实验室检查白细胞数增加，嗜酸粒细胞增加较明显，粪便检查半数以上患者可发现阿米巴滋养体或包裹。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(4)X线检查病侧膈肌升高，运动度受限，膈肌局部隆起者尤具诊断意义。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(5)超声波检查肝脏肿大，脓肿区出现液平段。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(6)肝脏放射性核素扫描可见局限性放射性缺损或密度减低。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(7)肝脓肿穿刺液呈红棕色9有继发感染时脓液呈黄白色)。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(8)用抗阿米巴药物(如甲硝唑)治疗，疗效显著。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　<strong style=\"color: #333333;\">2.细菌性肝脓肿</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(1)寒战、高热，呈弛张热型，右上腹痛，伴食欲不振、乏力。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(2)肝肿大，有明显触痛、扣击痛，有时可见右下胸肋间隙水肿。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(3)白细胞总数及中性粒细胞计数均增多。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(4)超声波检查显肝内液平段，CT、核素扫描有助于诊断。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(5)X线检查，右叶脓肿可见右膈升高，活动度受限，肝影增大，有时伴有反应性胸膜腔积液，左叶脓肿则常有胃小弯受压征象。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(6)肝穿刺有脓液，多为黄灰色或黄色，有臭味，作细菌学检查可确定致病菌。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　根据临床表现，本病属中医&ldquo;肝痈&rdquo;、&ldquo;肋痛&rdquo;等范畴。多因外感湿热，七情内郁，跌仆闪挫，饮食内伤所致，或肝郁而气界血瘀，久而成痈。治疗以清肝泻火、理气开郁、解毒排脓为大法，正虚邪恋者，可考虑扶正祛邪，托毒排脓。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　以上的这些内容就是我们为大家整理出来的关于肝脓肿不同类型的一些不同的症状表现，希望这些内容能够给有需要的朋友们带来一定的帮助，同时也希望大家都能够多关注一下自己的身体，如果有发现什么不适的地方，一定要及时到医院进行详细的检查并接受治疗哦。</p>\n<p>&nbsp;</p>","barId":"1671","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1869,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486652972678,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486652972676,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"2309","isDel":0,"createAt":1486652796040,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"胆结石的症状有哪些你知道吗？","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">&nbsp; &nbsp; 我们现在都知道疾病的治疗关键在于早，但是很多时候由于对疾病本身不了解所以在疾病出现的时候也不知道，现在我们就来了解一下关于胆结石的症状都有哪些吧，胆结石有的发病时很疼痛，甚至还有的出现并发症，给患者和家人带来很大的痛苦。如果我们懂得一些胆结石症状的知识，我们就能早发现，早治疗，这样治疗效果要好的多，那么胆结石的症状有哪些呢，我们看看下面的文章吧。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">&nbsp;&nbsp;<strong style=\"color: #333333;\">胆结石的症状有哪些？</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　1.胆绞痛</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　病人常在饱餐、进食油腻食物后或睡眠中体位改变时，由于胆囊收缩或结石移位加上迷走神经兴奋，结石嵌顿在胆囊壶腹部或颈部，胆囊排空受阻，胆囊内压力升高，胆囊强力收缩而引起绞痛。疼痛位于右上腹或上腹部，呈阵发性，或者持续疼痛阵发性加剧，可向右肩胛部和背部放射，可伴恶心、呕吐。部分病人因痛剧而不能准确说出疼痛部位。首次胆绞痛出现后，约70%的病人一年内会复发。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　2.上腹隐痛</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　多数病人仅在进食过量、吃高脂食物、工作紧张或休息不好时感到上腹部或右上腹隐痛，或者有饱胀不适、嗳气、呃逆等，易被误诊为&ldquo;胃病&rdquo;。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　3.胆囊积液</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　胆囊结石长期嵌顿或阻塞胆囊管但未合并感染时，胆囊黏膜吸收胆汁中的胆色素。分泌黏液性物质，形成胆囊积液。积液呈透明无色，又称为白胆汁。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　4.其他</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(1)很少引起黄疸，较轻;(2)小结石可通过胆囊管进入胆总管内成为胆总管结石;(3)胆总管的结石通过Oddi括约肌嵌顿于壶腹部导致胰腺炎，称为胆源性胰腺炎;(4)因结石压迫引起胆囊炎症并慢性穿孔，可造成胆囊十二指肠瘘或胆囊结肠瘘，大的结石通过瘘管进入肠道引起肠梗阻称为胆石性肠梗阻;(5)结石及长期的炎症刺激可诱发胆囊癌。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　5.Mirizzi综合征</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　Mirizzi综合征是特殊类型的胆囊结石，由于胆囊管与肝总管伴行过长或者胆囊管与肝总管汇合位置过低，持续嵌顿于胆囊颈部的和较大的胆囊管结石压迫肝总管，引起肝总管狭窄，反复的炎症发作更导致胆囊肝总管瘘管，胆囊管消失、结石部分或全部堵塞肝总管而引起。临床表现为反复发作胆囊炎及胆管炎，明显的梗阻性黄疸。胆道影像学检查可见胆囊或增大、肝总管扩张、胆总管正常。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　胆结石很多时候都跟我们日常的行为是分不开的，我们只有做好了全面的了解了以后才能及时的发现病情，随着人们生活水平提高，所以我们在以后的饮食上要多吃些粗纤维的蔬菜，多吃新鲜的水果，空闲的时候多做做运动，让自己的身体强健起来，这样就能最大限度的预防疾病。祝大家身体健康。</p>\n<p>&nbsp;</p>","barId":"1671","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1653,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486652796041,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486652796040,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4653","isDel":0,"createAt":1486652633921,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"胆囊炎有哪些临床的表现？","content":"<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal; text-align: left;\">　　胆囊炎是一种非常多见的胆囊疾病，这种疾病根据不用的发病情况是可以分为急性和慢性的，我们摇根据自己的实际情况选择合适的治疗方法，胆囊炎的患者往往对于胆囊炎的知识了解太少，这样对胆囊炎的预防治疗都是很不好的。那么，教你应该如何认识胆囊炎? 下面咱们一起解答吧。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\"><strong style=\"color: #333333;\">　　1.急性胆囊炎</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　急性结石性胆囊炎的临床表现和急性无结石性胆囊炎基本相同。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(1)症状 ①疼痛 右上腹剧痛或绞痛，多为结石或寄生虫嵌顿梗阻胆囊颈部所致的急性胆囊炎;疼痛常突然发作，十分剧烈，或呈现绞痛样，多发生在进食高脂食物后，多发生在夜间;右上腹一般性疼痛，见于胆囊管非梗阻性急性胆囊炎时，右上腹疼痛一般不剧烈，多为持续性胀痛，随着胆囊炎症的进展，疼痛亦可加重，疼痛呈现放射性，最常见的放射部位是右肩部和右肩胛骨下角等处，乃系胆囊炎症刺激右膈神经末梢和腹壁周围神经所致。②恶心、呕吐 是最常见的症状，如恶心、呕吐顽固或频繁，可造成脱水，虚脱和电解质紊乱，多见于结石或蛔虫梗阻胆囊管时。③畏寒、寒战、发热 轻型病例常有畏寒和低热;重型病例则可有寒战和高热，热度可达39℃以上，并可出现谵语、谵妄等精神症状。④黄疸 较少见，如有黄疸一般程度较轻，表示感染经淋巴管蔓延到了肝脏，造成了肝损害，或炎症已侵犯胆总管。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(2)主要体征 腹部检查可见右上腹部及上腹中部腹肌紧张、压痛、反跳痛、Murphy征阳性。伴胆囊积脓或胆囊周围脓肿者，于右上腹可扪及有压痛的包块或明显肿大的胆囊。当腹部压痛及腹肌紧张扩展到腹部其他区域或全腹时，则提示胆囊穿孔。或有急性腹膜炎。有15%～20%的病人因胆囊管周围性水肿、胆石压迫及胆囊周围炎造成肝脏损害，或炎症累及胆总管，造成Oddi括约肌痉挛和水肿、导致胆汁排出障碍，可出现轻度黄疸。如黄疸明显加深，则表示胆总管伴结石梗阻或并发胆总管炎的可能。严重病例可出现周围循环衰竭征象。血压常偏低，甚至可发生感染性休克，此种情况尤易见于化脓坏疽型重症病例时。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\"><strong style=\"color: #333333;\">　　2.慢性胆囊炎</strong></p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(1)症状 持续性右上腹钝痛或不适感;有恶心、嗳气、反酸、腹胀和胃部灼热等消化不良症状;右下肩胛区疼痛;进食高脂或油腻食物后症状加重;病程长，病情经过有急性发作和缓解相交替的特点，急性发作时与急性胆囊炎症状同，缓解期有时可无任何症状。</p>\n<p style=\"margin-top: 0px; margin-bottom: 0px; line-height: 26px; padding: 8px 0px; font-size: 14px; overflow: hidden; font-family: Tahoma, Arial, sans-serif; white-space: normal;\">　　(2)体征 胆囊区可有轻度压痛和叩击痛，但无反跳痛;胆汁淤积病例可扪到胀大的胆囊;急性发作时右上腹可有肌紧张，体温正常或有低热，偶可出现黄疸。胆囊压痛点在右腹直肌外缘与肋弓的交点，胸椎压痛点在8～10胸椎旁，右膈神经压痛点在颈部右侧胸锁乳突肌两下角之间。</p>\n<p>&nbsp;</p>","barId":"1671","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1679,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486652633922,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486652633921,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null}],"list4Map":null,"pageBegin":0,"pageSize":25,"pageNumber":1,"totalPage":1,"totalRow":5},"focus":0,"userDtos":[],"currCount":0,"lyBar":{"id":"1848","isDel":0,"createAt":1474534048000,"createBy":"sys","createName":"sys","updateAt":0,"updateBy":"","updateName":"","userId":"system","name":"普外科","type":100,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":"30fe1ccf80a111e6a97a00163e005165","provinceId":"","cityId":"","illId":null,"hospitalId":null,"keyWord":"","totleTopic":0,"barDesc":"","discussBarType":null,"metaSearch":null,"adInfo":null},"foodCouponValThan":null,"zlyTopic":{"id":"1848","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1848","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"pageTopics":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":10,"pageNumber":1,"totalPage":0,"totalRow":0},"herfList":[],"forumUserFocusBar":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"barId":null,"barName":null,"barType":0,"webType":0,"userType":0}}