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目的通过对我院510例急性腹痛患者分诊情况的分析,探讨提高急性腹痛患者预检分诊准确性的方法。方法包括询问病史并注意掌握问诊技巧,测量生命体征,腹部查体,结合辅助检查。结果 510例上腹痛患者,其中内科186例分诊正确率95.3%,失误率4.7%;外科324例,分诊正确率94.9%,失误率5.1%。结论绝大部分病例根据病史,临床表现及辅助检查,均能在短期内得到正确分诊,并给予有效的治疗。
OBJECTIVE: To analyze the triage of 510 patients with acute abdominal pain in our hospital and discuss the ways to improve the accuracy of pre-examination and triage of patients with acute abdominal pain. Methods include asking history and paying attention to mastering inquiring skills, measuring vital signs, examining the abdomen, and examining with assistance. Results 510 patients with upper abdominal pain, of which 186 cases of medical consultation accuracy rate of 95.3%, the error rate of 4.7%; surgical 324 cases, triage correct rate of 94.9%, the error rate of 5.1%. Conclusion Most cases based on medical history, clinical manifestations and laboratory examinations, can be correctly diagnosed in the short term, and give effective treatment.