中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
8期
41-42,45
,共3页
内科急诊%急性腹痛%临床诊断%种类
內科急診%急性腹痛%臨床診斷%種類
내과급진%급성복통%림상진단%충류
Department of internal medicine emergency%Acute abdominal pain%Clinical diagnosis%Types
目的：研究内科急诊急性腹痛患者的临床诊断方法以及种类。方法选取该院自2011年1月—2014年1月间收治的62例急性腹痛患者，采取资料回顾性分析，研究其急腹症疾病种类以及诊断方法。结果经过该院的诊断研究，急性胃肠炎20例，占32.26%，急慢性胃炎22例，占35.48%，心肌梗死2例，占3.23%，消化性溃疡17例，占27.42%，尿毒症1例，占1.61%；就诊过程中常常使用的辅助检查为血常规、腹部CT、腹部B超、心电图、胃镜、腹腔穿刺、肾功能、肝功能检查。结论急性腹痛为临床的常见症状，医师在诊断的过程中需详细了解患者的病史，合理应用了各项检查手段，对患者进行准确、快速确定病因，使得患者获得及时的诊断时机，从根本上减少误诊。
目的：研究內科急診急性腹痛患者的臨床診斷方法以及種類。方法選取該院自2011年1月—2014年1月間收治的62例急性腹痛患者，採取資料迴顧性分析，研究其急腹癥疾病種類以及診斷方法。結果經過該院的診斷研究，急性胃腸炎20例，佔32.26%，急慢性胃炎22例，佔35.48%，心肌梗死2例，佔3.23%，消化性潰瘍17例，佔27.42%，尿毒癥1例，佔1.61%；就診過程中常常使用的輔助檢查為血常規、腹部CT、腹部B超、心電圖、胃鏡、腹腔穿刺、腎功能、肝功能檢查。結論急性腹痛為臨床的常見癥狀，醫師在診斷的過程中需詳細瞭解患者的病史，閤理應用瞭各項檢查手段，對患者進行準確、快速確定病因，使得患者穫得及時的診斷時機，從根本上減少誤診。
목적：연구내과급진급성복통환자적림상진단방법이급충류。방법선취해원자2011년1월—2014년1월간수치적62례급성복통환자，채취자료회고성분석，연구기급복증질병충류이급진단방법。결과경과해원적진단연구，급성위장염20례，점32.26%，급만성위염22례，점35.48%，심기경사2례，점3.23%，소화성궤양17례，점27.42%，뇨독증1례，점1.61%；취진과정중상상사용적보조검사위혈상규、복부CT、복부B초、심전도、위경、복강천자、신공능、간공능검사。결론급성복통위림상적상견증상，의사재진단적과정중수상세료해환자적병사，합리응용료각항검사수단，대환자진행준학、쾌속학정병인，사득환자획득급시적진단시궤，종근본상감소오진。
Objective To study the clinical diagnostic methods in patients with acute abdominal pain and a variety of emergency department of internal medicine. Methods 62 patients with acute abdomen in our hospital from 2011 January ~2014 year in Jan-uary from, take retrospective analysis, study its acute abdomen disease type and diagnosis method. Results after diagnosis of acute gastroenteritis in our hospital, 20 cases, accounting for 32.26%, acute and chronic gastritis 22 cases, accounting for 35.48%, my-ocardial infarction in 2 cases, accounting for 3.23%, 17 cases of peptic ulcer, accounting for 27.42%, 1 cases of uremia, accounted for 1.61%;auxiliary examination often use medical process for blood routine, abdominal CT, abdominal B ultrasound, ECG, gastro-scope, abdominal puncture, renal function, liver function tests. Conclusion acute abdominal pain is a common clinical symptom, physicians need a detailed understanding of the patient's history in the process of diagnosis, reasonable application of various ex-amination means, for patients was fast and accurately, determine the cause, so that patients get the timing of diagnosis and timely, and fundamentally reduce misdiagnosis.
