成年人非外伤性急腹症病种构成及临床特点分析

Constitution and clinical characteristic analysis of adult non-traumatic acute abdomen disease

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 constitution and the clinical features of adult non - traumatic acute abdomen disease, for purpose of providing reference for diagnosis and treatment about acute abdomen. Methods Totally 17 082 cases of a- dult non traumatic acute abdomen patients from June 1,2011 to May 31, 2012 were collected by a retrospective analysis at emergency department of our hospital. According to the age, 17082 cases were divided into young group, middle age group, the older group, according to subject, the cases were divided into surgery acute abdomen, internal medicine acute abdomen and gynecology acute abdomen, According to the primary site of pain and disease relations respectively ,the cases numbers were added up. Results The occurrence probability of young group, middle age group, the older group were 70. 17%, 21.82%, 8% ; occurrence probability of internal medicine, surgery, gynecology acute abdomen were 72.46%, 22.15%, 5.39% ; research shows that every primary position of pain have relative diseases, the misdiagnosed rate of non traumatic acute abdomen was 0.88%. Conclusions Adult non traumatic acute abdomen diseases are varied, different a- ges, different subjects, different positions of non traumatic acute abdomen in adult have different diseases, Clinicians need to grasp the characteristics of non traumatic acute abdomen in order to reduce the misdiagnosis and mistreatment.