CAJ | 학술논문

目的：探讨急诊内科急性腹痛患者的临床诊断效果．方法：对75例急性腹痛患者进行临床诊断，观察患者生命体征和意识，进行实验室血常规、尿常规、粪常规、心肌酶谱和血淀粉酶检查，心电图、X线、B超、CT、胃镜和肠镜等器械系统化检查，明确发病原因，确诊患者根据诊断结果给予抗感染、补液和抑酸对症治疗，观察治疗效果．结果：75例急性腹痛患者诊断结果中外科疾病30例，占40．0％，内科疾病38例，占50．7％，妇科疾病7例，占9．3％．经对症治疗后，外科疾病患者全部治愈，内科疾病患者治愈37例，死亡1例，妇产科疾病全部治愈．结论：急性腹痛患者病情复杂，临床表现呈多样化，早期准确诊断可为后期治疗提供可靠依据，提高治疗效果．
목적：탐토급진내과급성복통환자적림상진단효과．방법：대75례급성복통환자진행림상진단，관찰환자생명체정화의식，진행실험실혈상규、뇨상규、분상규、심기매보화혈정분매검사，심전도、X선、B초、CT、위경화장경등기계계통화검사，명학발병원인，학진환자근거진단결과급여항감염、보액화억산대증치료，관찰치료효과．결과：75례급성복통환자진단결과중외과질병30례，점40．0％，내과질병38례，점50．7％，부과질병7례，점9．3％．경대증치료후，외과질병환자전부치유，내과질병환자치유37례，사망1례，부산과질병전부치유．결론：급성복통환자병정복잡，림상표현정다양화，조기준학진단가위후기치료제공가고의거，제고치료효과．
AIM: To investigate the clinical diagnosis of acute abdominal pain patients in medical emergency department. METHODS: A total of 75 patients with acute abdominal pain were clinically diagnosed. Patients vital signs and consciousness were observed, and laboratory blood routine, urine routine, stool routine, myocardial enzymes test and blood amylase test were performed. Electrocardiogram,X?ray,ultrasound,CT,gastroscopy, colonoscopy,and other examinations were employed to detect the causes. For diagnosed patients, ant?infection, infusion, anti?acid and symptomatic treatments were prescribed based on the diagnosis, and the curative effect was observed. RESULTS:Among 75 patients with acute abdominal pain, 30 of them were diagnosed of surgical diseases,accounting for 40.0%,38 cases of internal diseases,accounting for 50.7%,and 7 cases of gynecological diseases, accounting for 9. 3%. After symptomatic treatment, patients with surgical diseases were cured,37 cases patients with internal diseases were cured and 1 case died, and those with obstetrics and gynecology diseases were cured. CONCLUSION:Etiology for acute abdominal pain is complex with different clinical manifestations. Early and accurate diagnosis can provide a reliable basis for the treatment and thus improve the therapeutic effect.