探讨全科门诊急性腹痛患者的诊治效果.docVIP

精品论文 参考文献 探讨全科门诊急性腹痛患者的诊治效果 黑龙江省五大连池市格球山农场医院 164154 摘要：目的：研究分析全科门诊急性腹痛患者的诊治方法及效果。方法：整理收集2014年2月～2015年12月到我院接受急性腹痛治疗的患者50例作为本次研究对象，对这些患者的临床资料进行回顾性分析，探讨全科门诊对急性腹痛患者诊治经验。结果：在50例患者中，能够及时做出正确诊断有37例，正确诊断率为74%；被误诊或漏诊的共有5例，误诊率为10%；所有患者在初诊时的确诊率为86%，通过影像学的辅助检查后，患者的确诊率增加8%。全科门诊检查急性腹胀患者的最终确诊率为94%，并得到对症治疗。结论：通过探析全科门诊急性腹痛患者的诊治体会，总结急性腹痛原因，并掌握有效诊断的知识和方法，并与相关科室进行探讨，尽可能提高患者确诊率，避免误诊或漏诊。 　　关键词：全科门诊；急??腹痛；诊治体会 　 Abstract：Objective：To study the diagnosis and treatment of patients with acute abdominal pain in general outpatient clinic. Methods：collecting 2014 February to December 2015 to our hospital treatment of acute abdominal pain in 50 patients as the object of study，the clinical data of these patients were retrospective analysis，to explore the general outpatient service of diagnosis and treatment experience of acute abdominal pain in patients with. Results：in 50 patients to make timely and correct diagnosis of 37 cases，correct diagnosis rate was 74%；misdiagnosis or missed a total of 5 cases，the misdiagnosis rate was 10%. The diagnosis of all patients at the time of diagnosis rate was 86%. By means of imaging examinations，the diagnosed rate increased by 8%. The final diagnosis rate of patients with acute abdominal distension was 94%，which was treated with symptomatic treatment. Conclusion：through analysis of outpatient patients with acute abdominal pain diagnosis and treatment experience，summarizing the causes of acute abdominal pain and master effective diagnosis knowledge and methods，and discuss with the relevant departments，as far as possible to increase the rate of diagnosed patients and to avoid misdiagnosis or missed diagnosis. Key words：general out-patient clinic；acute abdominal pain；diagnosis and treatment 急性腹痛具有病情突然、发病急、病因复杂、变化快等特点，而且同一种疾病在病情发展的不同时间段临床表现也会不同，在急诊过程中经常由于误诊或漏诊而导致患者的治疗时机被延误，严重威胁了急性腹痛患者的身体健康和生命安全[1]。因此，为了通过探析全科门诊急性腹痛患者的诊治体会，总结急性腹痛原因，提高患者确诊率，避免误诊或漏诊，现选取2014年2月～2015年12月到我院接受急性腹痛治疗的患者50例作为研究对象进行研究，具体研究情况报道如下。 　　1 资料与方法 　　1.1一般资料 选取2014年2月～2015年12月到我院接受