急性腹痛的诊断分析

目的分析急性腹痛的临床特点,提高临床的诊断率。方法对我院2010年2月～2012年2月收入的420例急性腹痛患者的临床资料进行回顾性分析。结果急性腹痛的临床诊断正确率为82.1%(345/420),误诊率为17.9%(75/420)。其中,内科疾病误诊率为15.2%(32/210),外科疾病误诊率为23.8%(38/160),妇科疾病误诊率为10.0%(5/50)。结论在急性腹痛的诊断中,应加强对患者的病史询问和体格检查,同时注意急性腹痛的复杂性,并辅以其他的检查,从而减少误诊的发生。

Diagnostic Analysis of Acute Abdominal Pain

Objective To analyze the clinical characteristics of acute abdominal pain and improve the clinical diagnosis.Methods The clinical data of 420 patients with acute abdominal pains in our hospital during the period of Feb.2010 to Feb.2012 were selected for retrospective analysis.Results The correct rate of clinical analysis shows that the clinical diagnostic accuracy for emergency treatment of acute abdominal pain was 82.1%(345/420),while the misdiagnosis rate was 17.9%(75/420).Among them,the medical disease misdiagnosis rate was 15.2%(32/210),surgical disease misdiagnosis rate was 23.8%(38/160),and gynecological misdiagnosis rate was 10.0%(5/50).Conclusion The medical history inquiry and physical examination should be strengthened in emergency acute abdominal pain diagnosis and at the same time,more attention should be paid to the complexity of the abdominal pain,supplemented by other checks,thereby reducing the incidence of misdiagnosis.