医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
31期
98-99
,共2页
基层医院%急性非外伤性%腹痛%诊断思维%治疗
基層醫院%急性非外傷性%腹痛%診斷思維%治療
기층의원%급성비외상성%복통%진단사유%치료
Primary hospital%Acute non traumatic%Abdominal pain%Diagnosis thinking%Treatment
目的探讨基层医院急诊外科成人急性非外伤性腹痛构成特点及诊治思维。方法回顾性分析我院2013年10月1日~2015年2月1日急诊外科接诊的220例成人急性非外伤性腹痛患者的临床资料。结果院我院急诊外科腹痛种类按科别分为外科腹痛162例(73.6%)，内科腹痛30例(13.6%)，妇科腹痛15例(6.8%)及其他类型腹痛13例(6.0%)。按病因发病率较高的前四位腹痛分别为急性阑尾炎、泌尿系结石、胆道疾病及急性胃肠炎，分别为62例、49例、35例、18例，占总例数的74.5%。疾病早期误诊2例，误诊率为0.9%。全组死亡0例，常用辅助检查包括：血常规及血型检查、尿常规检查、便常规检查、生化检查、凝血机能检查、腹部超声检查、X线检查，心电图检查、腹部CT检查。结论基层外科医生要具备严谨的诊治思维及扎实的诊治技术，善于改变传统腹痛诊断思维方式为循证思维思考，早期及时对急性腹痛患者做出疾病严重程度的预判断，给予合理诊疗，避免耽误病情。
目的探討基層醫院急診外科成人急性非外傷性腹痛構成特點及診治思維。方法迴顧性分析我院2013年10月1日~2015年2月1日急診外科接診的220例成人急性非外傷性腹痛患者的臨床資料。結果院我院急診外科腹痛種類按科彆分為外科腹痛162例(73.6%)，內科腹痛30例(13.6%)，婦科腹痛15例(6.8%)及其他類型腹痛13例(6.0%)。按病因髮病率較高的前四位腹痛分彆為急性闌尾炎、泌尿繫結石、膽道疾病及急性胃腸炎，分彆為62例、49例、35例、18例，佔總例數的74.5%。疾病早期誤診2例，誤診率為0.9%。全組死亡0例，常用輔助檢查包括：血常規及血型檢查、尿常規檢查、便常規檢查、生化檢查、凝血機能檢查、腹部超聲檢查、X線檢查，心電圖檢查、腹部CT檢查。結論基層外科醫生要具備嚴謹的診治思維及扎實的診治技術，善于改變傳統腹痛診斷思維方式為循證思維思攷，早期及時對急性腹痛患者做齣疾病嚴重程度的預判斷，給予閤理診療，避免耽誤病情。
목적탐토기층의원급진외과성인급성비외상성복통구성특점급진치사유。방법회고성분석아원2013년10월1일~2015년2월1일급진외과접진적220례성인급성비외상성복통환자적림상자료。결과원아원급진외과복통충류안과별분위외과복통162례(73.6%)，내과복통30례(13.6%)，부과복통15례(6.8%)급기타류형복통13례(6.0%)。안병인발병솔교고적전사위복통분별위급성란미염、비뇨계결석、담도질병급급성위장염，분별위62례、49례、35례、18례，점총례수적74.5%。질병조기오진2례，오진솔위0.9%。전조사망0례，상용보조검사포괄：혈상규급혈형검사、뇨상규검사、편상규검사、생화검사、응혈궤능검사、복부초성검사、X선검사，심전도검사、복부CT검사。결론기층외과의생요구비엄근적진치사유급찰실적진치기술，선우개변전통복통진단사유방식위순증사유사고，조기급시대급성복통환자주출질병엄중정도적예판단，급여합리진료，피면탐오병정。
Objective To explore the characteristics and diagnosis thinking of treating patients of acute non traumatic abdominal pain in emergency surgery department of primary hospital. Methods Retrospectively analyze the clinical data of 220 cases of acute non traumatic abdominal pain diagnosed in our hospital from October 1, 2013 to February 1, 2015 in emergency surgery department. Results The patients according subject were divided into 162 cases (73.6%) of surgical abdominal pain, 30 cases (13.6%) of internal medicine abdominal pain, 15 cases (6.8%) of gynecologic abdominal pain and 13 cases (6%) of other types of abdominal pain . According to the cause of disease, the front four high incidence rate of abdominal pain was acute appendicitis, urinary calculus, biliary diseases and acute gastroenteritis, respectively 62 cases, 49 cases, 35 cases, 18 cases, accounting for 74.5%of the total numbers. 2 cases were misdiagnosed, misdiagnosis rate was 0.9%. There were 0 deaths. The common auxiliary examination included blood examination, routine urine examination, stool routine examination, biochemical examination and blood coagulation function examination, abdominal ultrasound, X-ray examination, electrocardiogram, abdominal CT examination. Conclusion Primary surgeon must have rigorous thought in diagnosis of diseases and solid treatment technology, be good at changing the traditional thinking way of pain for evidence-based thinking, make the serious patients with acute abdominal pain prejudged early and timely and immediately give a reasonable treatment to avoid delay an il ness.
