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.
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。
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