Beer D, Bettschart V
Policlinique Médicale Universitaire, César-Roux 19, 1005 Lausanne.
Rev Med Suisse Romande. 2001 Jan;121(1):33-40.
The doctor on duty conducting home visits is frequently asked to care for patients with non-traumatic severe abdominal pain. For this reason, visiting doctors should be able to recognize tell-tale alarm signs, evaluate ailments that call for surgical referral to--particularly those that require emergency surgery--and, if necessary, perform simple paraclinical exams at the patient's bedside. In the case of intense abdominal pain requiring a rapid and effective "analgesia", the doctor should be able to administer an opiate, without of the surgical unit impairing the judgement. When hospitalisation or referral for surgery is not necessary, a re-evaluation at 12 to 36 hours later should be offered.
负责家访的值班医生经常被要求护理非创伤性严重腹痛患者。因此,出诊医生应能够识别明显的警示信号,评估需要手术转诊的疾病——尤其是那些需要急诊手术的疾病——并在必要时在患者床边进行简单的辅助检查。对于需要快速有效“镇痛”的剧烈腹痛,医生应能够使用阿片类药物,同时又不影响外科的判断。当不需要住院或手术转诊时,应在12至36小时后进行重新评估。