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肾绞痛:急诊就诊的现行诊疗方案

Renal colic: current protocols for emergency presentations.

作者信息

Leveridge Mike, D'Arcy Frank T, O'Kane Dermot, Ischia Joseph J, Webb David R, Bolton Damien M, Lawrentschuk Nathan

机构信息

aDepartments of Urology and Oncology, Queen's University, Kingston, Ontario, Canada bDepartment of Surgery, Urology Unit, University of Melbourne, Austin Health cOlivia Newton-John Cancer Research Institute dPeter McCallum Cancer Centre, Melbourne, Victoria, Australia.

出版信息

Eur J Emerg Med. 2016 Feb;23(1):2-7. doi: 10.1097/MEJ.0000000000000324.

Abstract

Flank pain caused by renal colic is a common presentation to emergency departments. This paper reviews the acute clinical assessment of these patients, outlines appropriate diagnostic strategies with labwork and imaging and updates the reader on conservative treatments, suitable choices for analgesia and indications for surgical intervention. Prompt diagnosis and appropriate treatment instituted in the Emergency Department can rapidly and effectively manage this excruciatingly painful condition.

摘要

由肾绞痛引起的胁腹疼痛是急诊科常见的症状。本文回顾了这些患者的急性临床评估,概述了通过实验室检查和影像学进行的适当诊断策略,并向读者介绍了保守治疗、合适的镇痛选择以及手术干预的指征。在急诊科进行及时诊断和适当治疗可以迅速有效地处理这种极其疼痛的病症。

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