CAJ | 학술논문

目的：对274例经急诊抢救室处理的非创伤急性腹痛患者临床资料进行回顾、总结、分析，强调对致命性非创伤急性腹痛的认识，提高抢救成功率。方法回顾急诊抢救室处理的274例以急性腹痛为主诉的非创伤患者的临床资料，对其病史、症状、体征、辅助检查及最终诊断进行总结、分析。结果经急诊抢救室处理以急性腹痛为主诉的非创伤患者，可迅速致命的疾病占12.04%（33例），延误病情后果严重可能危及生命的疾病占16.42%(45例)，两者相加占28.46%。结论经急诊抢救室处理的非创伤急性腹痛潜在危险性巨大，需高度重视鉴别诊断，重点排除致命性疾病，从而改善预后。
목적：대274례경급진창구실처리적비창상급성복통환자림상자료진행회고、총결、분석，강조대치명성비창상급성복통적인식，제고창구성공솔。방법회고급진창구실처리적274례이급성복통위주소적비창상환자적림상자료，대기병사、증상、체정、보조검사급최종진단진행총결、분석。결과경급진창구실처리이급성복통위주소적비창상환자，가신속치명적질병점12.04%（33례），연오병정후과엄중가능위급생명적질병점16.42%(45례)，량자상가점28.46%。결론경급진창구실처리적비창상급성복통잠재위험성거대，수고도중시감별진단，중점배제치명성질병，종이개선예후。
Objective Through retrospective analysis of 274 cases with non traumatic acute abdominal pain managed in emergency rescue room, in order to strengthen the understanding of lethal acute abdominal pain and improve the success rate of rescue.Methods 274 patients with non traumatic acute abdominal pain managed in emergency rescue room of the affi liated hospital of Jiangsu university from January 2013 to December 2013 were analyzed retrospectively. The history, symptoms, signs, assistant examination andfi nal diagnosis of the patients were summarized and the focus was lethal acute abdominal pain.Results Among the patients with non traumatic acute abdominal pain managed in emergency rescue room, rapidly fatal diseases accounted for 12.04%(33 cases), life-threatening diseases accounted for 16.42%(45 cases). The two together accounted for 28.46%.Conclusion There was great potential medical risk in patients with non traumatic acute abdominal pain managed in emergency rescue room. We need to attach great importance to the differential diagnosis, emphatically exclude lethal disease, and improve the prognosis.