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目的分析内科急诊腹痛患者的临床诊断。方法选取2014年7月—2015年7月来我院内科急诊接受诊疗的120例腹痛患者为研究对象,考虑到临床症状的严重性,对120例患者实行系统性检查,并对既往病史进行分析,统计确诊人数以及病情类型。结果 120例急性腹痛患者中118例确诊,确诊率98.3%,急性胃肠炎56例、消化道溃疡27例、泌尿系统结石13例、急性阑尾炎6例、细菌性痢疾6例、心肌梗死5例、糖尿病酮症酸中毒2例、尿毒症2例、胃癌1例。结论来内科急诊行临床诊断的患者中,被诊断为急性胃肠炎以及消化道溃疡的人数最多;采取系统性检查,可有效降低误诊率,促进患者的临床治疗。
Objective To analyze the clinical diagnosis of patients with abdominal pain in medical emergency. Methods From July 2014 to July 2015 in our hospital medical emergency treatment of 120 cases of abdominal pain patients as the research object, taking into account the severity of clinical symptoms, 120 patients were systematically examined and the history of previous medical history , The number of patients diagnosed and the type of illness. Results A total of 118 cases of acute abdominal pain were diagnosed in 118 cases, the diagnosis rate was 98.3%, acute gastroenteritis in 56 cases, gastrointestinal ulcer in 27 cases, urinary system stones in 13 cases, acute appendicitis in 6 cases, bacillary dysentery in 6 cases, myocardial infarction in 5 cases , 2 cases of diabetic ketoacidosis, 2 cases of uremia, 1 case of gastric cancer. Conclusion Among the patients who were diagnosed as acute gastroenteritis and peptic ulcer by medical emergency, the number of patients diagnosed as acute gastroenteritis and peptic ulcer was the highest. By taking systematic examination, the rate of misdiagnosis can be reduced and the clinical treatment of patients can be promoted.