Burkhart C
North Suburban Clinic Ltd., Hoffman Estates, IL.
Nurse Pract. 1992 Jun;17(6):39, 43-6, 49. doi: 10.1097/00006205-199206000-00011.
Abdominal pain is one of the most frequently described reasons for ambulatory visits. The complaint of abdominal pain requires an orderly and thorough approach because even mild or non-specific pain can denote a potentially life-threatening intra-abdominal pathology. The majority of patients with acute abdomen can be diagnosed by a direct and concise history, and a thorough physical examination supplemented by simple laboratory and radiologic testing. This article includes key history, physical and clinical indicators that should suggest to the clinician the need for immediate surgical intervention. When an acute abdomen is suspected, the goal of patient management is to rapidly and accurately diagnose the patient preoperatively, and to provide a timely referral to the appropriate surgeon or gynecologist.
腹痛是门诊就诊时最常被提及的原因之一。腹痛主诉需要采用有序且全面的方法，因为即使是轻微或非特异性疼痛也可能意味着潜在的危及生命的腹腔内病变。大多数急腹症患者可通过直接、简明的病史以及全面的体格检查，并辅以简单的实验室和影像学检查来诊断。本文包括关键的病史、体格检查和临床指标，这些应提示临床医生需要立即进行手术干预。当怀疑为急腹症时，患者管理的目标是在术前快速、准确地诊断患者，并及时转诊给合适的外科医生或妇科医生。
