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目的通过分析近两年来社区门诊患者中非创伤性急性腹痛的临床特点,总结经验,为今后临床诊疗工作提供参考。方法对近一年来社区门急诊,以“腹痛”为主诉的就诊患者临床资料进行总结分析。结果针对64例急性腹痛患者诊治依次为急性阑尾炎、急性胃肠炎、胆石症、胃痉挛、泌尿结石、盆腔炎、痛经、胃十二指肠穿孔。结论非创伤性急性腹痛是社区门急诊常见疾病,急性腹痛病因多、发病急、变化快、病情重,故临床医务人员应该全面掌握各科的基础医学知识及诊断技术,防止各种误诊、漏诊的发生。
Objective To analyze the clinical characteristics of non-traumatic acute abdominal pain in outpatients in the past two years and summarize the experience, so as to provide reference for future clinical diagnosis and treatment. Methods In the past year, community outpatient and emergency department to “abdominal pain” as the main complaint of the clinical data of patients were analyzed. Results A total of 64 patients with acute abdominal pain were diagnosed as acute appendicitis, acute gastroenteritis, cholelithiasis, stomach cramps, urolithiasis, pelvic inflammatory disease, dysmenorrhea and gastroduodenal perforation. Conclusions Non-traumatic acute abdominal pain is a common disease in community outpatient and emergency department. There are many causes of acute abdominal pain, such as acute onset, rapid change and serious illness. Therefore, clinical medical staff should fully grasp the basic medical knowledge and diagnostic techniques of various departments to prevent various misdiagnosis and missed diagnosis happened.