Giperpankreatizm. Developments of stones of a pancreas

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The Basic sign of development of stones of a pancreas is the painful attack, on force sometimes surpassing bilious koliku. The pain arises suddenly, is localised in nadchreve and left podrebere, is frequent irradiirujut in a spine column, the left half of trunk and is rather frequent in heart area. Quite often at an intensive and painful pain the phenomena of a painful shock develop.

In most cases the painful syndrome is accompanied by a nausea, and is frequent also vomiting, usually not oblegchajushchejsostojanija the patient. Provokes painful attacks reception of plentiful fat food, alcoholic drinks, in particular substitutes of alcohol, unusually strong coffee, smoking of strong cigarettes, on occasion cigars. The painful attack usually lasts from several minutes till several o'clock, and in hard cases and about several days. In rare instances the attack comes to an end othozhdeniem a stone and its subsequent allocation with kalom (E. M.Kastanzjan, 1939).

At objective inspection sick vmoment a painful attack signs of a painful shock can be revealed. Yellowness is in rare instances ascertained, and at research of cardiovascular system - increase of number of warm reductions, priglushennost tones, bent to a hypotension.

Palpatorno is found out small pressure of muscles of a stomach, and the main thing, sharp morbidity in the left half nadchrevnoj areas, is more rare in left podrebere.