Kunz J
Frauenklinik, Spital Zollikerberg, Zollikerberg.
Praxis (Bern 1994). 2004 Jan 21;93(4):103-13. doi: 10.1024/0369-8394.93.4.103.
Abdominal pains are frequent complaints in specialist and GP practices and may be evidence of an acute or chronic condition. The complexity and diversity of possible causes demand an interdisciplinary approach, where appropriate, but never a polypharmaceutical approach. If the aetiology of an acute pain cannot be established within less than six to eight hours in a GP practice, the patient should be referred to an interdisciplinary emergency unit with a request to break down the differential diagnosis and push ahead with the diagnostic procedure. Gynaecology departments are confronted with some rare diagnoses which, if made promptly, will prove to be of crucial prognostic significance. Chronic abdominal pains call for interdisciplinary problem-solving.
腹痛是专科医生和全科医生诊所中常见的主诉，可能是急性或慢性疾病的表现。可能病因的复杂性和多样性需要在适当情况下采取跨学科方法，但绝不是多种药物联合治疗的方法。如果在全科医生诊所中，急性疼痛的病因在六到八小时内无法确定，患者应被转诊至跨学科急诊科，要求其进行鉴别诊断并推进诊断程序。妇科科室会遇到一些罕见的诊断情况，如果能及时做出诊断，将具有至关重要的预后意义。慢性腹痛需要跨学科解决问题。
