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对229例急诊急性腹痛病人进行分析,结果急诊确诊率88.2%,漏诊率3.4%,误诊率3.9%,急诊病死率0.87%。认为急性腹痛的早期明确诊断比治疗措施更重要,而详细的病史决定检查方向、细致地体检提供明确的资料、完善的辅助检查提供重要的肯定性依据;同时,对可疑而尚未能确诊的病人要严密观察病情变化直到确诊为止;并认为急诊科医师应掌握一定的各专科知识。
Analysis of 229 cases of acute abdominal pain patients, the results of emergency diagnosis rate of 88.2%, misdiagnosis rate of 3.4%, misdiagnosis rate of 3.9%, emergency mortality rate of 0.87%. That the early diagnosis of acute abdominal pain is more important than the treatment of definite diagnosis, and a detailed medical history decided to check the direction, detailed physical examination to provide clear information, improve the auxiliary examination provides an important positive basis; the same time, the suspicious and yet to be diagnosed Patients should be closely observed changes in the condition until confirmed; and that emergency department physicians should have a certain degree of specialist knowledge.