Becker Peter, Böttcher Knut A, Schilling Dieter
Dtsch Med Wochenschr. 2017 Mar;142(6):432-441. doi: 10.1055/s-0042-110648. Epub 2017 Mar 22.
Acute abdominal pain is a potentially life-threatening condition that requires a concise and quick workup. Patient history, physical examination and laboratory studies help to establish a working diagnosis. If abdominal Ultrasound is not conclusive, contrast-enhanced Computertomography should be performed. Every patient should be treated aggressively for pain control and fluid substitution independent of the diagnostic workflow. In cases of severe disease, initiation of broad spectrum antibiotic therapy should be considered early.
急性腹痛是一种可能危及生命的病症，需要进行简洁快速的检查。患者病史、体格检查和实验室检查有助于确立初步诊断。如果腹部超声检查结果不明确，则应进行对比增强计算机断层扫描。无论诊断流程如何，都应对每位患者积极进行疼痛控制和液体补充治疗。对于重症病例，应尽早考虑开始广谱抗生素治疗。
