Flasar Mark H, Cross Raymond, Goldberg Eric
Division of Gastroenterology and Hepatology, Department of Medicine, University of Maryland Medical Center, and Veterans Affairs, Maryland Health Care System, 10 North Greene Street, Baltimore, MD 21201, USA.
Prim Care. 2006 Sep;33(3):659-84, vi. doi: 10.1016/j.pop.2006.06.004.
Acute abdominal pain is a complaint seen commonly in the outpatient setting that has a broad and often confusing differential diagnosis. Although many presentations can be managed on an outpatient basis, several gastrointestinal causes of abdominal pain demand thoughtful consideration with subsequent referral to a higher level of care for appropriate diagnosis and treatment. To achieve this goal, outpatient physicians must have an understanding of the mechanisms of abdominal pain, as well as the common gastrointestinal causes that carry potentially higher morbidity and mortality.
急性腹痛是门诊常见的主诉,其鉴别诊断范围广泛且常常令人困惑。尽管许多病例可以在门诊处理,但一些引起腹痛的胃肠道病因需要仔细考虑,随后应转诊至更高水平的医疗机构以进行恰当的诊断和治疗。为实现这一目标,门诊医生必须了解腹痛的机制以及具有潜在较高发病率和死亡率的常见胃肠道病因。