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疝的症状

对于疝,首先注意到的是小凸起或突出。它通常不会导致疼痛,但会造成一点不舒服。锻炼或咳嗽会使疝增大。疝在早期阶段通常为易复性,因为其内含物(一般是肠)可以被推回到腹腔中。但是,有些情况下,疝可以进展到箝闭性的程度,这表示不再能通过腹壁将疝内含物推回。

如果血液在嵌顿疝的小肠中停止流动,会发生更严重的并发症,从而导致绞窄性疝,这种疝非常疼痛,可以导致恶心、呕吐和堵塞。严重的情况下,绞窄性疝还可能会导致肠段坏死,继而造成肠穿孔、败血症甚至是死亡。9, 11
 

如何诊断疝?

医疗机构一般通过体检来诊断疝。可能会要求病人站立时咳嗽,以增加腹腔内的压力。然后,疝会向外凸出,便于医生检测。医生还可能将手指放在腹股沟上部的褶皱中,以感受囊和疝下降的开口。有时候,还会使用超声波检查法或计算机断层扫描 (CT) 来辅助进行诊断。3

 


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