摘要
目的:探讨基层医院对常见急腹症患者就诊时的处理方案。方法:近几年收治急腹症患者270例,其中主要是急性阑尾炎100例,肠穿孔30例,输尿管结石40例,妇科急腹症60例,胆囊炎、胆囊结石共30例,肠系膜淋巴结炎10例。针对患者的临床症状以及临床体征迅速诊断疾病并实施治疗。结果:上述患者有20例误诊为阑尾炎,误诊率7.5%左右,其中10例胃穿孔、5例妇科急症、5例肠系膜淋巴结炎。结论:急腹症急性阑尾炎在临床上较容易误诊,全面系统分析减少急腹症的误诊。
Objective：To study the basic - level hospitals to common in patients with a- cute abdominal pain when a treatment plan. Methods： Analysis in our hospital in recent years for both the patients with acute ab- dominal pain in 270 cases, mainly 100 cases of acute appendicitis, bowel perforation, 30 cases of ureteral calculi and an example, gy- necological acute abdomen sixty cases, cho- lecystitis, gallstones were 30 cases, mesen- teric lymphadenitis 10 cases. Aim at the pa- tient＇s clinical symptoms and clinical signs and symptoms quickly diagnose disease treatment and implementation. Result： The patients had twenty patients were misdiag- nosed as appendicitis,the misdiagnosis rate at about 7.5% , including The ten cases of gastric perforation, 5 cases of gynecological acute,5 cases for mesenteric lymphadenitis. Conclusion： Acute abdomen acute appendi- citis in clinic more easily misdiagnosed, comprehensive system analysis to reduce the misdiagnosis of acute abdominal pain.
关键词
急腹症
鉴别
处理
Acute abdomen
Identification
