腹壁压痛在非特异性腹痛的诊断中是一个有用的体征吗？
Is abdominal wall tenderness a useful sign in the diagnosis of non-specific abdominal pain?
作者信息
Gray D W, Dixon J M, Seabrook G, Collin J
机构信息
Nuffield Department of Surgery, John Radcliffe Hospital, Oxford.
出版信息
Ann R Coll Surg Engl. 1988 Jul;70(4):233-4.
Pain arising from the abdominal wall has been implicated as a cause of non-specific abdominal pain (NSAP), and the presence of abdominal wall tenderness (AWT) has been proposed as an accurate diagnostic test for NSAP. One hundred and fifty eight patients admitted to hospital with abdominal pain were tested for the presence of positive AWT. In 53 patients the final diagnosis was appendicitis and positive AWT was found in five. Thirty eight patients were found to have a variety of other recognised pathological diagnoses, none of whom had a positive AWT. In 67 patients a diagnosis of NSAP was made in the absence of other pathological diagnosis, 19 of whom had positive AWT, which was significantly different from the other diagnostic groups. This study confirms the presence of AWT in up to 28% of patients with NSAP, and suggests that testing for AWT is of value in patients with abdominal pain, although a positive AWT is not as accurate a predictor of NSAP as previously reported.
腹壁疼痛被认为是非特异性腹痛（NSAP）的一个原因，腹壁压痛（AWT）的存在已被提议作为NSAP的一种准确诊断测试。158名因腹痛入院的患者接受了AWT阳性检测。53例患者最终诊断为阑尾炎，其中5例发现AWT阳性。38例患者被发现患有各种其他公认的病理诊断，这些患者均无AWT阳性。67例患者在没有其他病理诊断的情况下被诊断为NSAP，其中19例有AWT阳性，这与其他诊断组有显著差异。这项研究证实，高达28%的NSAP患者存在AWT，并表明对腹痛患者进行AWT检测是有价值的，尽管AWT阳性并不像先前报道的那样是NSAP的准确预测指标。
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