摘要
目的探讨512例以急性腹痛原因待查入院者的诊断方法。方法选择1994年至2004年我院急诊科以急性腹痛原因待查收治的512例患者的临床资料,分析其常见病因及延迟确诊的原因。结果512例急性腹痛者中,有482例在发病24h内明确诊断。内科系统疾病343例(71.2%);普通外科92例(18.0%);妇产科38例(7.9%);泌尿外科5例(0.9%);胸外科4例(0.8%)。30例未能及时做出诊断,主要是因为询问病史不详细和查体不全面;缺乏跨学科知识,思维范围局限等造成。结论对腹痛患者应详细询问病史,全面查体,正确认识局部与整体的关系,必要时可剖腹探查。
Objective To discuss the diagnostic experience with 512 cases of acute abdominal pain. Methods Clinical data of 512 cases with acute abdominal pain hospitalized from 1994 to 2004 in the Emergency Wards of Beijing Friendship Hospital were collected. The definitive diagnosis and the causes for delayed diagnosis were analyzed. Results Of the 512 cases with abdominal pain, the diagnosis was made within 24 hours after the onset of abdominal pain in 482 cases. Etiological classification included diseases related to internal medicine in 343 cases （71.2%）, general surgery problems in 92 cases （18.0%）, gynecology and obstetrics disordersin 38 cases （7.9%）, urinary surgical problemsin 5 cases （0.9%）, and thoracic surgical problems in 4 cases （0.8%）. Early diagnosis was not established in 30 cases. The reasons for the delayed diagnosis were insufficient patient＇s history taking, incomplete physical examination, and shortage of knowledge of the examiner. Conclusions An orderly detailed patient＇s history and careful systemic physical examination should be conducted in patients with abdominal pain. Intergrating the local specific presentation and the clinical picture of the patient is needed for correct diagnosis. Laparotomy can be performed if necessary.
出处
《北京医学》
CAS
2005年第9期543-545,共3页
Beijing Medical Journal
