CAJ | 학술논문

目的避免或减少腹痛诊治的延误.方法分析因腹痛收住消化内科后请外科会诊的原因及病例构成.结果外科会诊患者中以空腔脏器阻塞或扩张最多见占51.07%,其次以肠道肿瘤多见占17.78%.超声检查32.78%、CT检查26.67%、胃肠镜检查13.89%可确诊这类患者,及时行这些检查可缩短腹痛患者入院后至请会诊时间.结论对腹痛待诊患者无论是门诊还是住院者,应根据病情尽早安排超声、CT及胃肠镜检查,仔细观察症状及体征变化,能最大可能避免延误诊治.
목적 피면혹감소복통진치적연오.방법 분석인복통수주소화내과후청외과회진적원인급병례구성.결과 외과회진환자중이공강장기조새혹확장최다견점51.07%,기차이장도종류다견점17.78%.초성검사32.78%、CT검사26.67%、위장경검사13.89%가학진저류환자,급시행저사검사가축단복통환자입원후지청회진시간.결론 대복통대진환자무론시문진환시주원자,응근거병정진조안배초성、CT급위장경검사,자세관찰증상급체정변화,능최대가능피면연오진치.
Objective To reduce the misdiagnosis of the inpatients admitted to digest department with abdominal pain through analyzing the consultation undertaken by surgeon.Method The causes and the constituent ratio according to the case records of those inpatients admitted to digest department because of abdominal pain were analyzed.Results The obstruction of hollow viscus was the first cauge(51.07%),and the tumor of digestive tract(17.78%)was the second cause for invitation for consultation to surgeon of the inpatients with abdominal pain in digest department wards.The ultrasound 32.78%,CT 26.67% and gastroenterological endoscope 13.89% were definite diagnosis,and should shorten the time of consultation.Conclusion Whether inpatient or outpatient with abdominal pain should be planned to be examined by ultrasound,CT or gastroenterological endoscope,obgerve the changes of the symptom and sign so that the misdiagnosis can be avoided.