普通内科门诊172例急性腹痛的诊治分析

Clinical analysis of 172 patients with acute abdominal pain treated in outpatient of general internal medicine department

目的分析172例急性腹痛诊治情况,探求普通内科门诊诊治急性腹痛的最佳思维,优化诊疗程序。方法总结172例急性腹痛患者的病因分类、临床表现、诊断、治疗情况等。结果急慢性胃炎42例(24.42%),消化性溃疡27例(15.70%),急性胃肠炎24例(13.96%),急性阑尾炎17例(9.89%),急性胆囊炎、胆结石16例(9.30%),泌尿系结石14例(8.14%),胃肠痉挛11例(6.40%),尿路感染4例(2.33%),急性胰腺炎2例(1.16%),急性盆腔炎2例(1.16%),异位妊娠2例(1.16%),急性肠梗阻2例(1.16%),过敏性紫癜2例(1.16%),急性心肌梗死2例(1.16%),带状疱疹2例(1.16%),胸膜炎2例(1.16%),肺炎1例(0.58%)。结论利用门诊多学科平台,采取正确合理的思维程序,结合必要的辅助检查,建立优化合理的处置方法,方能保证急性腹痛患者的最佳诊治效果。

Objective To explore the optimal thinking of diagnosing and treating acute abdominal pain in the outpatient of general internal medicine department and optimizing the diagnosis and treatment procedures by analyzing the diagnosis and treatment of 172 patients with acute abdominal pain.Methods The etiological classification,clinical manifestation,diagnosis,treatment and other conditions of 172 patients with acute abdominal pain were summarized.Results Of the 172 patients,42 patients（24.42%）had acute and chronic gastritis,27 （15.70%） peptic ulcer,24（13.96%） acute gastroenteritis,17（9.89%） acute appendicitis,16（9.30%） acute cholecystitis and cholelithiasis,14 （8.14%） urinary stones,11 （6.40%） gastrointestinal spasm,4 （2.33%） urinary tract infection,2（1.16%） acute pancreatitis,2 （1.16%） acute pelvic inflammatory disease,2（1.16%） ectopic pregnancy,2 （1.16%） acute intestinal obstruction,2（1.16%） allergic purpura,2（1.16%） acute myocardial infarction,2（1.16%） herpes zoster,2（1.16%） pleurisy and 1（0.58%） pneumonia.Conclusion Only by utilizing the outpatient multidisciplinary platform,taking a correct and rational thinking process,combining necessary auxiliary examinations and establishing optimal and reasonable management methods can the optimal diagnosis and treatment effects be guaranteed for patients with acute abdominal pain.