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基层医院外科急腹症的临床诊治体会

Experience in Clinical Diagnosis and Treatment of Acute Abdomen in Primary Hospital
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摘要 目的对基层医院外科中急腹症的临床诊断、治疗进行分析,研究对外科急腹症的诊治关键。方法选择2014年3月至2017年3月在我院外科收治的急腹症患者98例作为研究分析对象,对所有急腹症患者的临床资料进行回顾性分析。结果经手术治疗96例,治愈出院或者明显好转患者96例,治愈率97.96%;保守治疗2例无效死亡,其中1例为肝癌破裂大出血而导致死亡,1例为结肠肿瘤穿孔2d休克后才就诊导致死亡。98例急腹症中有6例在术前未能明确病因诊断,经过手术探查后才明确诊断,占比6.12%。结论对急腹症患者病情进行全面、细致、综合的分析,进行科学准确的快速诊断、及早治疗(尤其是手术治疗)是治愈急腹症的关键所在。 Objective To analyze the clinical diagnosis and treatment of acute abdomen in the surgical department of primary hospitals and to study the key to the diagnosis and treatment of acute abdomen. Methods A total of 98 cases of acute abdomen patients admitted to our hospital from March 2014 to March 2017 were selected as the subjects of the study. The clinical data of all acute abdomen patients were retrospectively analyzed. Results After 96 cases were treated with surgery, 96 cases were cured or discharged, and the cure rate was 97.96%; 2 cases died due to conservative treatment, including 1 case of major hepatocarcinoma hemorrhage leading to death and 1 case of colon tumor perforation after 2 days of shock only visits lead to death. Among 98 cases of acute abdomen, 6 cases did not have a clear cause diagnosis before surgery. After surgery, a diagnosis was made, accounting for 6.12%. Conclusion Comprehensive, meticulous and comprehensive analysis of the condition of patients with acute abdomen, scientific and accurate rapid diagnosis, and early treatment (especially surgical treatment) are the key to cure acute abdomen.
作者 符史典 FU Shi-dian(Dongfang Hospital,Dongfang,Hainan,57260)
出处 《智慧健康》 2018年第17期94-95,共2页 Smart Healthcare
关键词 基层医院 外科 急腹症 Primary hospital Surgery Acute abdomen
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