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Analgesia administration for acute abdominal pain in the pediatric emergency department.儿科急诊科急性腹痛的镇痛治疗
Pediatr Emerg Care. 2006 Jan;22(1):18-21. doi: 10.1097/01.pec.0000195761.97199.37.
2
Acute appendicitis: current diagnosis and treatment.急性阑尾炎：当前的诊断与治疗
Curr Surg. 2003 Sep-Oct;60(5):502-5. doi: 10.1016/S0149-7944(03)00131-4.
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Analgesia for children with acute abdominal pain: a survey of pediatric emergency physicians and pediatric surgeons.儿童急性腹痛的镇痛：儿科急诊医生和儿科外科医生的调查
Pediatrics. 2003 Nov;112(5):1122-6. doi: 10.1542/peds.112.5.1122.
4
Critically reappraising the literature-driven practice of analgesia administration for acute abdominal pain in the emergency room prior to surgical evaluation.在进行手术评估之前，对急诊室中因急性腹痛而进行镇痛给药的以文献为导向的做法进行批判性重新评估。
Am J Surg. 2003 Apr;185(4):291-6. doi: 10.1016/s0002-9610(02)01412-5.
5
Effect on diagnostic efficiency of analgesia for undifferentiated abdominal pain.镇痛对未分化型腹痛诊断效率的影响。
Br J Surg. 2003 Jan;90(1):5-9. doi: 10.1002/bjs.4009.
6
Effects of morphine analgesia on diagnostic accuracy in Emergency Department patients with abdominal pain: a prospective, randomized trial.吗啡镇痛对急诊科腹痛患者诊断准确性的影响：一项前瞻性随机试验。
J Am Coll Surg. 2003 Jan;196(1):18-31. doi: 10.1016/s1072-7515(02)01480-1.
7
A randomized clinical trial of analgesia in children with acute abdominal pain.一项针对儿童急性腹痛镇痛的随机临床试验。
Acad Emerg Med. 2002 Apr;9(4):281-7. doi: 10.1111/j.1553-2712.2002.tb01319.x.
8
Narcotic analgesia in the acute abdomen--a review of prospective trials.急腹症中的麻醉性镇痛——前瞻性试验综述
Eur J Emerg Med. 2001 Jun;8(2):131-6. doi: 10.1097/00063110-200106000-00009.
9
Adverse outcomes and opioid analgesic administration in acute abdominal pain.急性腹痛中的不良结局与阿片类镇痛药的使用
Acad Emerg Med. 2000 Sep;7(9):980-7. doi: 10.1111/j.1553-2712.2000.tb02087.x.
10
Acute appendicitis in children: emergency department diagnosis and management.儿童急性阑尾炎：急诊科的诊断与管理
Ann Emerg Med. 2000 Jul;36(1):39-51. doi: 10.1067/mem.2000.105658.

镇痛会掩盖儿童阑尾炎的诊断吗？

Does analgesia mask diagnosis of appendicitis among children?

作者信息

Bromberg Rudy, Goldman Ran D

机构信息

Pediatric Research in Emergency Therapeutics (PRETx) program, Hospital for Sick Children, Toronto.

出版信息

Can Fam Physician. 2007 Jan;53(1):39-41.

PMID:17872606
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1952553/
Abstract

QUESTION

Can analgesia be given safely to patients with suspected appendicitis prior to surgical evaluation without masking physical signs and symptoms?

ANSWER

Withholding analgesia from patients with acute abdominal pain and suspected appendicitis is common. This practice, however, is not supported by published literature. Although a few trials have noted some changes in abdominal examination with analgesia, this has not been associated with any changes in patient outcome. If patients are in pain, analgesia is warranted. Larger multicentre trials are needed to establish practice guidelines.

摘要

问题

在进行手术评估之前，能否在不掩盖体征和症状的情况下，安全地给疑似阑尾炎患者使用镇痛药？

答案

对于急性腹痛且疑似阑尾炎的患者不给予镇痛药是常见做法。然而，这一做法并未得到已发表文献的支持。尽管一些试验指出使用镇痛药后腹部检查有一些变化，但这与患者的任何预后变化并无关联。如果患者疼痛，给予镇痛药是合理的。需要开展更大规模的多中心试验来制定实践指南。