急诊抢救室处理非创伤急性腹痛274例临床调查及分析  

作　　者：梁亚鹏[1] 刘志祯[1] 尹其翔[1] 

机构地区：[1]江苏大学附属医院急诊科,江苏212001

出　　处：《当代医学》2015年第28期3-5,共3页Contemporary Medicine

摘　　要：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。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 affiliated hospital of Jiangsu university from January 2013 to December 2013 were analyzed retrospectively. The history, symptoms, signs, assistant examination and final 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.

关 键 词：急诊 抢救室 急性腹痛 致命性 

分 类 号：R656.1[医药卫生—急诊医学]