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专家详解人体疼痛感分级:痔疮术后换药痛过分娩--亲稳网络舆情监测室
2012-08-29
你的疼痛别人如何“感同身受”? Your pain others how to“empathy”?
疼痛分10级 分娩痛只能算7级 Pain points and 10 level labor pain can only calculate 7th level
两天前,28岁的白领张肖(化名)发出了这样一条微博:“终于体会到了什么叫做‘世纪之痛'……一个小小的肛瘘手术,竟然可以把一个大男人痛得昏过去,出院后坚决戒火锅,坚决不久坐!”
Two days ago,28 white-collar portrait(alias)Issued such a micro bo:“Finally realized what is called‘The pain of the century "...A small anal fistula operation,Unexpectedly can put a big man the pain is faint,After discharge resolutely give hot pot,Resolutely soon sit!”
疼痛,是每个人都会经历的一种感觉,而每个人所经历的痛又不尽相同。原来,医学上对疼痛有等级之分,不同程度的疼痛是身体病变的信号之一。疼痛到底如何分级?同样的刺激下不同人为何痛感不同?麻醉剂止痛到底有无害处?带着这些疑问,重庆晚报记者采访了市内各大医院的专家,告诉读者如何认识疼痛。
pain,Is everyone will experience a feeling,And each person experience pain but not the same。The original,The medicine to pain have grades,Different degrees of pain is one of the first signs of body lesions。How pain classification?The same stimulus under different people why keenly feel different?Anesthetic analgesic exactly without harm?With these questions,Chongqing evening news reporter interviewed the city each big hospital experts,Tell the reader how to understand the pain。
小手术后上药 Pickpockets postoperative irrigation
大男人被痛昏 The big man is faint pain
昨上午,重庆晚报记者在市中医院肛肠科病房见到了张肖。他说,自己在江北一家广告公司做策划,长期坐在电脑前熬夜加班。10多天前,他突然觉得屁股没缘由地肿了起来,肛门火辣辣地疼,吃了消炎药也不见好。3天后,整个屁股肿得坐不下去了。到市中医院一检查,才知道自己得了肛瘘,医生建议他尽快手术。
Yesterday in the morning,Chongqing evening news reporter at the municipal hospital of traditional Chinese medicine anus bowel division ward to see the portrait。He said,Himself in the jiangbei an advertising company do planning,Long-term sit in front of the computer to stay up late to work overtime。More than 10 days before,He suddenly feel butt didn't the reason to swell up,Anal irritablely painful,Eat anti-inflammatory drugs also not good。Three days later,The bottom was swollen sit not bottom go to。A check to city hospital of traditional Chinese medicine,They knew that they had anal fistula,The doctor advised him to operation as soon as possible。
“比做手术更痛苦的是换药,那种钻心的痛,真是想死的心都有了。”张肖说,肛瘘手术留下的是开放式伤口,必须用纱布蘸药后塞进肛门,换药时从里面直接抽出来,再重新塞进新的纱布,早晚各一次。为了防止感染,一般不会打麻药。
“Compared to the operation more painful is dressing,That made the pain,Really want to die heart have。”Portrait said,Anal fistula operation leave is an open wound,Must use gauze dip in after medicine stuffed the anus,When dressing change from the inside out to directly,Then to plug into new gauze,One time in the morning。In order to prevent infection,Generally not dozen anesthetic。
同在该科室住院的一名38岁的女病人说,即使是做不打麻药的人流手术,和这种换药比都是小巫见大巫。36岁的患者谭先生说,自己换药时,痛昏过去三次,同个病房里的几个大男人在病床上痛得鼻涕眼泪直流,呼天抢地。
With the departments in the hospital a 38-year-old woman the patient said,Even do not dozen anesthetic of the stream of people surgery,And this kind of dressing change ratio are a fraction of。At the age of 36 patients with Mr Tan said,Yourself when dressing,The pain passed out three times,In the ward with a few big man in the bed the pain is nose tears dc,Utter cries of anguish。
器官结构特殊 Organ structure special
痛感超过分娩 Pain more than delivery
“痔疮、肛瘘、肛周脓肿的病人,在术后换药最痛的时候,可能会达到疼痛的最高级别,超过分娩时的痛。”市中医院肛肠科主任张晓明解释称,病人之所以会有这么强烈的痛感,和肛门这个器官的特殊结构有关。
“piles、Anal fistula、Crissum abscess patients,In the postoperative dressing the pain of time,Could reach the highest level of pain,More than during labor pain。”City hospital of traditional Chinese medicine anus bowel division director s. explanation says,The patient have so intense pain,And anal the organs of the relevant special structure。
首先,它的进化程度不太理想,和人体的其他器官相比,有很多先天缺陷,肛门周围的动静脉直接吻合,形成了一个发达的血管丛,但却没有一个静脉瓣来当开关,控制血液科学流动,因此这个部位很容易水肿、充血、淤血、血管扩张、血液循环出现障碍。其次,这个部位的神经系统特别发达,对痛感也最为敏感。
First of all,Its evolution degree is not too ideal,And the human body than other organs,There are a lot of birth defects,Around the anus of arteriovenous direct anastomosis,Formed a developed vascular plexus,But without a vein valve to when switch,Control blood flow of science,So this part is easy to edema、congestion、gore、vasodilation、Blood circulation problems。secondly,This part of the nervous system is especially developed,The most sensitive to pain also。
此外,这一部位在手术后是一个开放性伤口,不仅无法缝合,每天在排便时还要不断运动,受到持续刺激,因此更增加了疼痛的感觉。
In addition,This part of the surgery is an open wound,Not only failed to suture,Every day in bowel movement even when in constant motion,Continuously stimulated by,Therefore more increased the feeling of pain。
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