误收住消化内科腹痛170例外科会诊分析  

Analysis of the consultation undertaken by surgeon on 170 inpatients with abdominal pain admitted to digest department

作　　者：邓茂林[1] 饶进[1] 胡小丽[1] 董刚强[1] 岳光平[1] 蒲红[1] 蒋永威[1] 

机构地区：[1]成都铁路中心医院消化内科,610081

出　　处：《中国医师进修杂志》2008年第9期13-15,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：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。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 cause （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 outpatieht with abdominal pain should be planned to be examined by ultrasound, CT or gastroenterological endoscope, observe the changes of the symptom and sign so that the misdiagnosis can be avoided.

关 键 词：腹痛 转诊和会诊 误诊 

分 类 号：R656[医药卫生—外科学]