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目的总结急诊科对急性腹痛留观患者动态观察方面的经验。方法对2006-2009年间的295例急性腹痛留观患者的症状、体征及动态观察资料进行回顾性分析。结果留观期间动态观察及病情判断:4 h内确诊者98例,4～6 h确诊126例,6～8 h确诊71例,有效控制了临床风险。结论急性腹痛患者留观期间,需要医护人员高度的责任心,把握应对急腹症的要领,动态观察病情变化,及早诊断正确处置。
Objective To summarize the experience of emergency department in observing patients with acute abdominal pain. Methods The symptoms, signs and dynamic observation data of 295 patients with acute abdominal pain during 2006-2009 were analyzed retrospectively. The results of observation during the dynamic observation and disease judgment: 4 h diagnosis of 98 cases, 4 ~ 6 h confirmed 126 cases, 6 h 8 h confirmed 71 cases, the effective control of the clinical risk. Conclusion Patients with acute abdominal pain during observation, the need for medical staff a high degree of responsibility, to grasp the essentials of acute abdomen, dynamic observation of changes in condition, the early diagnosis and proper disposal.