急诊腹痛处理原则（Principles of emergency abdominal pain management）.doc

急诊腹痛处理原则（Principles of emergency abdominal pain management） The cause of abdominal pain is complicated, involving multiple viscera and systemic diseases in the chest and abdomen. It is the most common and sometimes the most difficult disease to diagnose. The acute abdomen refers to the abdominal disease which is characterized by abdominal pain and often needs urgent operation. Its occurrence characteristic is: the onset is urgent, the development of the Central Committee, the change is many, the illness is heavy. Once misdiagnosed, great harm. The common clinical features of acute abdomen: abdominal pain, vomiting, abdominal distension, constipation, blood in the stool, and even shock. These symptoms are not unique to the surgical acute abdomen, so they should be carefully distinguished: First, abdominal pain classification (according to the following two methods to distinguish) 1, physical N pain: accurate location, often accompanied by local tenderness and muscle tight. For acute pain, pain, dull pain. 2, visceral N pain: poor positioning, no abdominal muscle tension. Performance: pain, pain, cramps, pain drill. 3, radioactive pain (referred to pain): refers to the location of a lesion caused by another part of the pain, such as: kidney, ureter stones, causing perineal areas, thighs and other parts of the pain. (two) according to the character of abdominal pain (three kinds) 1, persistent pain: often by inflammation, cavity organs, content, blood and other stimuli, if the content of the stomach, duodenum, or bile, such as stimulation, the performance of persistent knife like pain, accompanied by plate shaped abdomen. 2, paroxysmal abdominal pain: cavity organ obstruction or spasm caused by. 3, persistent pain with paroxysmal intensification: cavity organ obstruction, accompanied by infection, such as cholelithiasis accompanied by infection. Two, diagnosis and identification: (must clear the following questions) (1) acute internal medicine, gynecologic acute abdome