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非特异性腹痛——一个代价高昂的谜团。

Non-specific abdominal pain--an expensive mystery.

作者信息

Raheja S K, McDonald P J, Taylor I

机构信息

University Surgical Unit, Southampton General Hospital.

出版信息

J R Soc Med. 1990 Jan;83(1):10-1. doi: 10.1177/014107689008300106.

Abstract

Non-specific abdominal pain (NSAP) is a common cause of urgent admission to surgical wards. We studied 80 such patients prospectively. NSAP was commonest in female patients under 30. The pain was localized in the right lower quadrant in 32 patients (40%) and in 56 (70%) the pain was aggravated by movement. Viral studies failed to show any abnormality except in one patient with raised acute and convalescent titres but three patients had raised antistreptolysin 0 titres. The psychological results demonstrated that the NSAP group had the same levels of anxiety and depression as the control group and also had no evidence of increased preceding life events.

摘要

非特异性腹痛(NSAP)是外科病房紧急收治的常见原因。我们对80例此类患者进行了前瞻性研究。NSAP在30岁以下女性患者中最为常见。32例患者(40%)疼痛局限于右下腹,56例患者(70%)疼痛因活动而加重。病毒学检查除1例急性和恢复期滴度升高的患者外未显示任何异常,但3例患者抗链球菌溶血素O滴度升高。心理测试结果表明,NSAP组的焦虑和抑郁水平与对照组相同,且没有证据表明之前的生活事件有所增加。

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本文引用的文献

1
Presentation of cancer to hospital as 'acute abdominal pain'.
Br J Surg. 1980 Jun;67(6):413-6. doi: 10.1002/bjs.1800670610.
2
The hospital anxiety and depression scale.医院焦虑抑郁量表。
Acta Psychiatr Scand. 1983 Jun;67(6):361-70. doi: 10.1111/j.1600-0447.1983.tb09716.x.
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Clin Gastroenterol. 1985 Jul;14(3):531-43.

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