急诊内科急性腹痛80例临床诊断方法及效果

张涛，张良*，卞康

（咸阳市中心医院，陕西 咸阳，712000）

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摘要：

目的  探讨急诊内科急性腹痛的临床诊断方法及效果。方法 选取我院收治的80 例急性腹痛患者，对其临床诊疗资料 进行回顾性分析，总结急性腹痛的病因及诊疗效果。结果 80 例患者的诊断准确率为87.5%，内科疾病、外科疾病及妇科疾病 均是引发急性腹痛的主要病因，其患者分别占51.3%、28.8%、20.0%，诊断准确率分别为90.2%、82.6%、87.5%。患者临床治愈 率为98.75%，1 例急性心肌梗死患者死亡，病死率为1.25%。结论 急性腹痛的病因较多，需强化病情询问及观察，并结合检 查结果，确定病因并给予针对性的治疗，以此提升临床治疗效果。

关键词：急性腹痛；急诊内科；病因；准确率

中图分类号：R459.7文献标志码：A文章编号：2096-1413(2018)06-0032-02

Clinical diagnosis and effect of 80 patients with acute abdominal pain in emergency internal medicine department
ZHANG Tao, ZHANG Liang*, BIAN Kang
(Xianyang Central Hospital, Xianyang 712000, China)

ABSTRACT: Objective To explore the clinical diagnosis and effect of acute abdominal pain in emergency internal medicine department. Methods Eighty cases of patients with acute abdominal pain treated in our hospital were selected. The clinical data of them were analyzed, and the etiology and results of diagnosis and treatment of acute abdominal pain were summarized. Results The diagnostic accuracy rate of 80 patients was 87.5%, the internal medicine diseases, surgical diseases and gynecological diseases were the major causes of acute abdominal pain, the patients of which accounted for 51.3%, 28.8%, 20.0% respectively, the diagnostic accuracy rate of which accounted for 90.2%, 82.6%, 87.5% respectively. The clinical cure rate of the patients was 98.75%, and 1 case died of acute myocardial infarction, the fatality rate was 1.25%. Conclusion There are many causes of acute abdominal pain. It is needed to strengthen the disease inquiry and observation, combined with the examination results to determine the cause of disease and give targeted treatment, so as to improve the clinical treatment effect.
KEYWORDS: acute abdominal pain; emergency internal medicine department; etiology; accuracy

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