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目的 探讨腹腔穿刺术在急腹症中的临床应用价值。方法 对２３０例经腹腔穿刺的急腹症患者的临床资料进行回顾性分析总结。其中男１５６例，女７４例；腹部闭合性损伤１０７例，腹腔炎症性疾病１０３例，腹腔绞窄性血管性疾病 ２０例。结果 ２３０例中符合诊断 ２２０例，诊断符合率为 ９５.６％，其中腹部闭合性损伤均符合诊断，为１００％；腹腔炎症性疾病符合诊断９５例，阳性率９２．２％；腹腔绞窄性血管性疾病符合诊断１８例，阳性率９０．０％。结论 腹腔穿刺术简便、安全、迅速、诊断符合率高，是辅助确诊急腹症的有效方法。
Objective To investigate the clinical value of abdominal paracentesis in acute abdomen. Methods The clinical data of 230 patients with acute abdominal paracentesis were retrospectively analyzed. Among them, there were 156 males and 74 females, 107 cases of closed abdomen injuries, 103 cases of peritoneal inflammatory diseases and 20 cases of peritoneal strangulation vascular diseases. Results Among the 230 cases, 220 cases were coincident with the diagnosis, the diagnostic coincidence rate was 95.6%, of which the closed abdominal injury was diagnosed as 100%. 95 cases were diagnosed as abdominal inflammatory disease with a positive rate of 92.2% 18 cases of vascular disease consistent with the diagnosis, the positive rate of 90.0%. Conclusions Paraperitoneal puncture is simple, safe and rapid, with high diagnostic accuracy. It is an effective method to diagnose acute abdomen.