摘要
急诊科就诊患者较多、拥挤是普遍现象,其中需要紧急救治的患者常常被延误治疗。医师延误对病情的评估、疾病的诊断和治疗,将导致不良结局的出现。腹痛占急诊就诊的6.8%,是急诊患者的最常见临床症状,其诊断繁多,包括良性疾病和威胁生命的疾病〔1〕。由于不同的腹痛病因引起的临床特点不同,从而使急诊医师更多地依赖于实验室检查。一项对急诊的研究表明,65%的相同的非创伤性腹痛患者至少要接受一项影像学检查〔2〕。实验室检查不仅增加了开销,延长了留观时间,而且加重了急诊室的拥挤现象。有调查显示。
Abdominal pain is the most common clinical symptoms of emergency patients,accounting for 6. 8% of emergency department visits. The diagnosis are complex,including benign diseases and lifethreatening diseases. Delaying the assessment,diagnosis and treatment of the diseases will lead to adverse outcomes. Therefore,early and rapid identification of critically ill patients,will reduce mortality of patients with abdominal pain. Subjective pain scale,and abdominal CT have the disadvantages of subjective and timeconsuming. This paper summarizes the early rapid assessment methods of abdominal pain patient＇s condition at home and abroad,including early identification of surgery patients,acute pancreatitis,pancreatic cancer and diverticulitis patients.
出处
《临床急诊杂志》
CAS
2014年第1期56-60,共5页
Journal of Clinical Emergency
基金
北京市科技计划课题(No:Z11110七058811083)
关键词
急性腹痛
早期预警
acute abdominal pain
early warning
