论文部分内容阅读
目的探讨急性腹痛病例的临床特点,以提高诊断的正确率。方法回顾性分析4年来我院急诊首诊的腹痛患者412例的临床资料。结果急诊首诊的急性腹痛患者中,绝大多数为胃肠疾病,少数为腹腔外疾病,但极易误诊。结论详尽的病史及细致的体格检查是获取正确诊断的关键环节,鉴别诊断中应注意急腹症的复杂性及辅助检查的局限性,以减少漏诊与误诊的发生。
Objective To investigate the clinical features of acute abdominal pain in order to improve the diagnostic accuracy. Methods The clinical data of 412 patients with abdominal pain who were diagnosed first in our hospital during the past 4 years were retrospectively analyzed. Results The first emergency diagnosis of acute abdominal pain patients, the vast majority of gastrointestinal diseases, a small number of extraperitoneal diseases, but extremely misdiagnosed. Conclusion The exhaustive medical history and meticulous physical examination are the key steps to obtain the correct diagnosis. The differential diagnosis should pay attention to the complexity of acute abdomen and the limitations of laboratory examinations in order to reduce the missed diagnosis and misdiagnosis.