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急性腹痛的急诊诊断和鉴别诊断(附229例分析) 被引量:2

Differential diagnosis of acute abdominalgia in emergency : An analysis of 229 cases
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摘要 对229例急诊急性腹痛病人进行分析,结果急诊确诊率88.2%,漏诊率3.4%,误诊率3.9%,急诊病死率0.87%。认为急性腹痛的早期明确诊断比治疗措施更重要,而详细的病史决定检查方向、细致地体检提供明确的资料、完善的辅助检查提供重要的肯定性依据;同时,对可疑而尚未能确诊的病人要严密观察病情变化直到确诊为止;并认为急诊科医师应掌握一定的各专科知识。 The analysis of 229 patients with acute abdominalgia in emergency showed that the rates of confirmed diagnosis, of missed diagnosis, of misdiagnosis and of fatality were 88.2%, 3.4%, 3.9% and 0.87% respectively. It was concluded that early confirmed diagnosis is more important than therapeutic measures, and detail case history leads to the focus of examination, and careful examination can support correct materials, and that the complete accessory examination can confirm the diagnosis. The doubted patients should remain in the hospital until confirmed diagnosis. It was suggested that doctors in emergency should master knowledge of each specialty.
作者 黄顺忠
出处 《右江民族医学院学报》 1999年第1期13-14,共2页 Journal of Youjiang Medical University for Nationalities
关键词 诊断 鉴别诊断 急救医学 急性腹痛 abdomen,acute diagnosis,differential emergency medicine
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