摘要
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 characteristics of nontraumatic acute abdominalgia in adult patients for elevating the level of diagnosis and treatment of acute abdominalgia.Methods The clinical data of 533 adult patients with acute nontraumatic abdominalgia admitted to our department from January 2008 to January 2010 were retrospectively analyzed.Results All 533 cases were finally acquired confirmed diagnosis.In etiologic constituent,intraperitoneal diseases were 503 cases （94.37%）,and extraperitoneal diseases were 30 cases （5.63%）;medical abdominalgia was 303 cases（56.85%）,surgical abdominalgia was 197 cases（36.96%）,and gynecologic abdominalgia was 33 cases （6.19%）.The first four of etiology were acute gastroenteritis（151 cases）,acute appendicitis（64 cases）,urinary lithiasis （62 cases）and peptic ulcer（55 cases）respectively,and they accounted for 62.29% of 533 cases. Ten cases were misdiagnosed in the early stage of diseases,and the misdiagnosis rate was 1.88%.Eight cases died （including four cases post transferred to other hospitals）,and the mortality was 1.5%.Conclusions Detailed inquiring history,careful physical examination,rational planning accessory examination and enhancing inter-department cooperation are important for diagnosis and treatment of acute abdominalgia.The early non-confirmed cases should be stationed for rigorously observing.Exploratory laparotomy in time should be performed when having operative indication.
出处
《中国临床研究》
CAS
2011年第1期24-26,共3页
Chinese Journal of Clinical Research
关键词
急性腹痛
非外伤性
诊断
治疗
Acute abdominalgia
nontraumatic
Diagnosis
Treatment
