论文部分内容阅读
目的探讨成人非外伤性急腹症的病种构成及临床特点,为急腹症的诊断和治疗提供参考依据,降低误诊、漏诊的发生率,以减少医疗纠纷。方法回顾性分析2011年6月1日至2012年5月31日17 082例成年人非外伤性急腹症患者的病例资料。按照年龄分为青年组、中年组、老年组;按学科划分为外科急腹症、内科急腹症、妇科急腹症,按初发疼痛部位与原发病对应关系分别统计例数。结果青年、中年、老年发病分别为69.74%、22.29%、7.96%;内科、外科、妇产科急腹症发病率分别为72.62%、22.01%、5.45%;研究显示初发疼痛部位均有相对应发病病种;腹痛误诊率0.88%。结论成年人非外伤性急腹症病种多样,不同年龄、不同学科、不同部位发病各异,临床医师可根据这些特点进行指导诊断,以减少误诊误治的发生率。
Objective To explore the constitution and clinical features of non-traumatic acute abdomen in adults and to provide a reference for the diagnosis and treatment of acute abdomen, and to reduce the incidence of misdiagnosis and missed diagnosis to reduce medical disputes. Methods The data of 17 082 adults with non-traumatic acute abdomen were retrospectively analyzed from June 1, 2011 to May 31, 2012. According to the age, they were divided into young group, middle age group and old age group. According to the disciplines, they were divided into surgical acute abdomen, internal medicine acute abdomen and gynecological acute abdomen. According to the statistical relationship between the initial pain and the primary disease. Results The incidence rates of acute, middle-aged and elderly were 69.74%, 22.29% and 7.96% respectively. The incidences of acute abdomen in internal medicine, surgery and obstetrics and gynecology were 72.62%, 22.01% and 5.45% respectively. Corresponding to the incidence of disease; misdiagnosis rate of abdominal pain 0.88%. Conclusion Adult patients with non-traumatic acute abdomen variety of disease, different age, different disciplines, different parts of different incidence, clinicians can guide the diagnosis of these characteristics in order to reduce the incidence of misdiagnosis and mistreatment.