摘要
腹痛是腹腔内器官或组织发生问题后发出的一种警示信号。其病因隐蔽,疾病涉及多科室,病情多变化,急性腹痛(包括急腹症)的处理要求时效性强,需当机立断;慢性腹痛多为疑难病例。本文作者从几十年的实践中深刻地体会到正确的临床思维对各类腹痛诊断的重要性,并从3个方面对临床思维进行阐述:(1)从病史、体检、实验室检查等方面收集相关腹痛的资料;(2)通过分析、综合、推理与判断,认识腹痛的本质和原因;(3)观察追随病情的发展变化并及时处理。
Abdominal pain is an alarming signal indicating that either tissue or organ in the abdominal cavity is in trouble. The etiology of abdominal pain is often obscure. The underlying diseases are muhidisciplinary, and the disease process varies with time. Often, an acute abdominal pain （ in-cluding acute abdomen） requires urgent diagnosis and treatment. Chronic abdominal pain involves many difficult cases. Having fifty years of clinical experiences, the author concludes that a scientific decision making process is essential in the diagnosis of all types of abdominal pain. It involves the following： （ 1 ） Data collection through history taking, physical examamination,and laboratory diagnosis. （2）Analysis and synthesis of data are important to gain insight into the disease process for the establishment of a logical diagnosis. （ 3 ） Close observation is required for acute abdominal pain of unknown origin. Even after a diagnosis is made, the patient should still be followed up to check if the diagnosis and treatment are correct.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2009年第12期1073-1075,共3页
Chinese Journal of Practical Internal Medicine
关键词
腹痛
急腹症
临床思维
abdominal pain
acute abdomen
decision making process about diagnosis
