急诊科110例急性腹痛患者临床分析

Clinical analysis of 110 patients with acute stomachache in primary hospitals

目的为了提高基层医院对腹痛患者的临床诊断和分诊治疗效率,减少延误和漏诊。方法收集陕西省交通医院2018年1月至2019年1月就诊于急诊内科的腹痛患者110例的临床资料,从一般情况、临床诊断、治疗转归等方面对资料进行回顾性分析。结果110例患者中男女比例相当,诊断明确者108例,原因不明2例,感染性疾病58例,非感染性疾病50例;其中以18~30岁为主,其次为>50岁,所有患者均进行了快速的分诊和有效的治疗。结论基层医院急诊科的腹痛患者还是以常见病为主,应加强对高危患者的分诊,规范普通患者的治疗,减少医疗资源浪费。

Objective To improve the clinical diagnosis and treatment efficiency of patients with stomachache in primary hospitals,and to reduce delay and missed diagnosis.Methods The clinical data of 110 patients with abdominal pain who were admitted to the emergency department from January 2018 to January 2019 were collected.The data were retrospectively analyzed from general conditions,clinical diagnosis,and treatment outcome.Results In 110 cases,the proportion of male and female was quite equal,108 cases were diagnosed,2 cases were unknown,58 were infectious diseases,and 50 were non-infectious diseases.Among them,most patients aged 18~30 years old,followed by>50 years old,all patients were arranged rapid diagnosis and effective treatment.Conclusion The patients with stomachache in the emergency department of primary hospitals are mainly with common diseases,which should strengthen the diagnosis of high-risk patients,standardize the treatment of ordinary patients,and reduce the waste of medical resources.