Frisancho O
Médico Gastroenterólogo del Hospital Nacional Edgardo Rebagliati Martins, IPSS, Lima, Peru.
Rev Gastroenterol Peru. 1992;12(3):159-62.
The acute abdomen is due to a medical disorder or surgical problems. Diagnosis is often difficult; acute diseases of the lung, chest, kidney, for example, may closely mimic primary diseases of the abdomen and can masquerade as surgical abdomen. The history assumes overwhelming importance, a careful physical examination is absolutely essential. It is incumbent upon the physician first to decide what is the most likely diagnosis to be correct; and then to undertake treatment indicated for that diagnosis. The laboratory studies, x-ray studies, echography, abdominal paracentesis and other diagnostic approaches may be indicated, when the diagnosis may still be obscure. In the course of the investigation of a patient with acute abdomen, the immediate goals are the correction of dehydration, electrolyte depletion and other problems. It is extremely important that no analgesics or sedatives ever be given until a decision is made as to a proper working diagnosis.
急腹症是由内科疾病或外科问题引起的。诊断往往很困难；例如，肺部、胸部、肾脏的急性疾病可能与腹部原发性疾病极为相似，并可伪装成外科急腹症。病史极为重要，仔细的体格检查绝对必要。医生首先有责任确定最有可能正确的诊断，然后针对该诊断进行相应的治疗。当诊断仍不明确时，可能需要进行实验室检查、X光检查、超声检查、腹腔穿刺及其他诊断方法。在对急腹症患者进行检查的过程中，首要目标是纠正脱水、电解质耗竭及其他问题。在做出正确的初步诊断之前，绝不要给予任何镇痛药或镇静剂，这一点极其重要。
