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目的分析急性非外伤性腹痛的临床特点,以期提高急性腹痛的诊疗水平。方法回顾性分析2008年1月至2010年1月急诊科接诊的533例成人急性非外伤性腹痛患者的临床资料。结果全组病例最后均确诊,其中腹腔内疾病503例(94.37%),腹腔外疾病30例(5.63%);内科腹痛303例(56.85%),外科腹痛197例(36.96%),妇科腹痛33例(6.19%)。前4位病因分别为急性胃肠炎、急性阑尾炎、泌尿系结石及消化性溃疡,分别为151例、64例、62例、55例,占总例数的62.29%。疾病早期误诊10例,误诊率为1.88%。全组死亡8例,病死率为1.5%,包括转上级医院后死亡4例。结论详细询问病史,仔细体格检查,合理安排辅助检查,加强科间合作,对急性腹痛诊断、治疗具有重要意义。早期不能确诊者,应留观,严密观察病情变化,有手术指征时,及时剖腹探查。
Objective To analyze the clinical features of acute non-traumatic abdominal pain in order to improve the diagnosis and treatment of acute abdominal pain. Methods The clinical data of 533 adult patients with acute non-traumatic abdominal pain who were admitted to the emergency department from January 2008 to January 2010 were retrospectively analyzed. Results All the patients were diagnosed at last, including 503 cases of intra-abdominal disease (94.37%), 30 cases of extra-abdominal disease (5.63%), 303 cases of internal abdominal pain (56.85%), 197 cases of surgical abdominal pain (36.96% Example (6.19%). The first four causes were acute gastroenteritis, acute appendicitis, urolithiasis and peptic ulcer, which were 151 cases, 64 cases, 62 cases and 55 cases, accounting for 62.29% of the total cases. Early misdiagnosis of 10 cases of disease, misdiagnosis rate was 1.88%. The whole group of deaths in 8 cases, the case fatality rate was 1.5%, including the transfer to the higher hospital after the death of 4 cases. Conclusion Detailed history, careful physical examination, reasonable arrangements for laboratory examinations, strengthen cooperation between departments, the diagnosis and treatment of acute abdominal pain is of great significance. Early diagnosis can not be, should stay view, close observation of changes in condition, surgical indications, timely laparotomy.