Bord Sharon, El Khuri Christopher
Department of Emergency Medicine, Johns Hopkins University School of Medicine, 1830 E Monument Street, Balitmore, MD 21287, USA.
Department of Emergency Medicine, Johns Hopkins University School of Medicine, 1830 E Monument Street, Balitmore, MD 21287, USA.
Emerg Med Clin North Am. 2020 May;38(2):499-522. doi: 10.1016/j.emc.2020.02.005.
Abdominal and extremity complaints are common in the emergency department (ED) and, because of their frequency, clinical vigilance is vital in order not to miss the timely diagnosis of occult or delayed emergencies. Such emergencies, if not timely managed, are sources of significant patient morbidity and mortality and may expose ED physicians to possible litigation. Each patient complaint yields to a nuanced approach in diagnostics and therapeutics that can lead physicians toward the ruling in or out of the correct high-risk diagnosis. This article discusses the approach and risk management of this high-risk subset of abdominal and extremity diagnoses.
腹部和四肢不适在急诊科很常见，鉴于其出现频率，保持临床警觉对于及时诊断隐匿性或延迟性急症至关重要。这类急症若不及时处理，会导致患者出现严重的发病情况和死亡，还可能使急诊科医生面临潜在的诉讼风险。对于每一例患者的不适，在诊断和治疗上都需要采用细致入微的方法，这有助于医生做出正确的高风险诊断或排除此类诊断。本文讨论了腹部和四肢这类高风险诊断的处理方法及风险管理。
