摘要
目的探讨急性非创伤性腹痛中降阶梯临床思维方式的应用价值。方法选择2017年1月至2018年1月于该院急诊科救治的130例非创伤性腹痛患者,分为观察组与对照组,各65例。观察组进行降阶梯思维方式管理,对照组按照传统急诊管理。比较两组分诊时间、待诊时间、分诊准确率、临床诊断时间、确诊时间、排除危重疾病时间、危重疾病漏诊情况。结果观察组分诊时间、待诊时间、临床诊断时间、确诊时间、排除危重疾病时间、危重疾病(腹主动脉瘤、异位妊娠、急性心肌梗死、重症胰腺炎)的漏诊率均低于对照组,差异有统计学意义(P<0.05)。观察组分诊准确率明显高于对照组(92.31%vs.76.92%,P<0.05)。结论对急性非创伤性腹痛患者采用降阶梯思维方式进行诊断,能够有效提高分诊效率,缩短诊断时间,降低危重疾病漏诊率。
Objective To explore the application value of de-escalation thinking in the diagnosis of non-traumatic acute abdominalgia.Methods A total of 130 cases of patients with non-traumatic acute abdominalgia treated in the emergency department of this hospital from January 2017 to January 2018 were selected and divided into the observation group and the control group,with 65 cases in each group.The observation group was managed in the way of de-escalation thinking,and the control group was treated with traditional emergency management.The triage time,waiting time,accuracy of triage,time of clinical diagnosis,time of accurate diagnosis,time of elimination of critical illness and missed diagnosis of critical illness were compared between the two groups.Results The time of triage,waiting time,time of clinical diagnosis,time of accurate diagnosis,time of elimination of critical illness and rate of missed diagnosis of critical diseases in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The accuracy of triage in the observation group was higher than that in the control group(92.31%vs.76.92%,P<0.05).Conclusion The application of de-escalation thinking in the diagnosis of non-traumatic acute abdominalgia could effectively improve the efficiency of triage,shorten the diagnosis time,and reduce the missed diagnosis rate of critical non-traumatic acute abdominalgia.
作者
陈凤
陈红
CHEN Feng;CHEN Hong(Department of Prehospital Emergency,Chongqing Emergency Medical Center/The Fourth People′s Hospital of Chongqing,Chongqing 400014,China)
出处
《重庆医学》
CAS
2020年第22期3796-3798,3802,共4页
Chongqing medicine
关键词
非创伤性腹痛
降阶梯思维
急诊室
医院
诊断
鉴别
漏诊
non-traumatic acute abdominalgia
de-escalation thinking
emergency service,hospital
diagnosis,differential
missed diagnosis
