symptom

physical signs

symptom

physical signs

Increased white blood cells, decreased red blood cells and hemoglobin

Increased white blood cells and neutrophils

Elevated blood and urine amylase

See hematuria

At the intersection of the middle and outer 1/3 of the line connecting the umbilicus and the left anterior superior iliac spine

At the intersection of the horizontal line of the umbilicus and the anterior axillary line

No coagulation: internal bleeding caused by rupture of solid organs or large blood vessels

Blood coagulates rapidly: accidentally enters blood vessels

Increased amylase levels: pancreatic or gastroduodenal damage

At the intersection of the middle and outer 1/3 of the line connecting the umbilicus and the left anterior superior iliac spine

At the intersection of the horizontal line of the umbilicus and the anterior axillary line

Slowly inject 500~1000ml sterile saline

Free abdominal gas: gastrointestinal tract rupture

Diagnosis of solid organ damage

worsening of condition

Worsening of signs and symptoms of peritonitis

Abdominal effusion and pneumoperitoneum

In case of intra-abdominal bleeding: open the abdomen to aspirate the accumulated blood and remove the clot

No massive intra-abdominal bleeding: first explore the solid body and then the hollow organs

Rebleeding from damaged organs

abdominal abscess

central rupture

subcapsular rupture

true rupture

hematoma

Hemorrhagic manifestations

stomach ache

Absolute bed rest for at least a week

Fasting, no drinking, gastrointestinal decompression

Rehydration or blood transfusion

Hemostatic drugs and antibiotics

spleen-sparing surgery

splenectomy

activity to a minimum

Cooling care. Patients with partial splenectomy will continue to have fever for 2 to 3 weeks after surgery, with a body temperature of 38 to 40°C, which is called spleen fever.

Liver rupture

subcapsular rupture

central liver rupture

Hemorrhagic manifestations

stomach ache

secondary abscess

Absolute bed rest for more than 2 weeks to stop bleeding, resist shock and infection, and correct water, electrolyte and acid-base balance imbalances

Accurately stop bleeding, thoroughly debridement, eliminate bile leakage, and establish smooth drainage