急腹症是临床上常见病,对其诊断处理是否及时直接影响其预后。近年来应用腹腔穿刺术诊断急腹症47例,并将操作方法适当改进,现报告如下。1　临床资料47例中,男26例,女21例;年龄最大71岁,最小5岁。穿刺阳性39例,占83%;阴性8例,占17%。阳性39例中,有35例经手术治愈,其中上消化道穿 Acute abdomen is a common clinical disease, its diagnosis and treatment is a direct impact on its prognosis. In recent years, the application of paracentesis in the diagnosis of 47 cases of acute abdomen, and the operation of the appropriate improvements, are as follows. 1 Clinical data 47 cases, 26 males and 21 females; the oldest 71 years old, the youngest 5 years old. Puncture positive in 39 cases, accounting for 83%; negative in 8 cases, accounting for 17%. In 39 cases of positive, 35 cases were cured by surgery, of which the upper gastrointestinal wear