急腹症的临床诊断和急诊处理经验探讨  

Exploring the Clinical Diagnosis and Emergency Management of Acute Abdomen

作　　者：李洪志 张丽萍 LI Hongzhi;ZHANG Liping(Department of Emergency Surgery,Linyi Central Hospital,Linyi,Shandong 276400,China)

机构地区：[1]临沂市中心医院急诊外科,山东临沂276400

出　　处：《中国医药指南》2025年第8期32-34,共3页Guide of China Medicine

摘　　要：目的 探讨对于临床急诊中急腹症患者,实施有效的临床诊断和急诊处理,分析其临床诊断效果和急诊处理的作用价值。方法 选取2020年3月至2024年3月临沂市中心医院急诊收治的76例急腹症患者,对其均展开临床诊断并实施急诊处理,对比处理前后的生命体征状况,统计76例患者经急诊处理的预期效果。结果 经对76例患者实施急诊诊断和急诊处理后的血压、心率、呼吸频率均低于处理前,处理后的血氧饱和度高于处理前(P <0.05)。76例患者经过急诊处理之后,显效55例(72.37%),有效20例(26.32%),无效1例(1.32%),治疗总有效率为98.69%。结论 急腹症的临床诊断和处理需要综合考虑患者的病史、体征、检查结果等方面信息,开展早期诊断处理可助于改善生命体征状况,提高疗效。Objective to explore the effective clinical diagnosis and emergency treatment for acute abdomen patients in clinical emergency,and to analyze the clinical diagnostic effect and the value of emergency treatment.Methods A total of 76 patients with acute abdomen from Linyi Central Hospital from March 2020 to March 2024 were selected and they were clinically diagnosed and treated with emergency treatment.Compared with the vital signs before and after treatment,the expected effect of 76 patients after emergency treatment was counted.Results The blood pressure,heart rate and respiratory rate were lower than before treatment,and the blood oxygen saturation was higher than before treatment(P<0.05).After emergency treatment,55 patients showed significant improvement(72.37%),20 patients showed improvement(26.32%),and 1 patient showed no improvement(1.32%).The total effective rate of treatment was 98.69%.Conclusions The clinical diagnosis and treatment of acute abdomen requires comprehensive consideration of the patient’s history,signs,examination results and other information,and early diagnosis can help improve the vital signs and improve the efficacy.

关 键 词：急腹症 临床诊断 急诊处理 

分 类 号：R656.1[医药卫生—急诊医学]