Department of Family Medicine, School of Health Sciences, University of Pretoria, Pretoria.
S Afr Fam Pract (2004). 2021 Mar 10;63(1):e1-e5. doi: 10.4102/safp.v63i1.5280.
Abdominal pain is a common presenting problem with multiple aetiologies that often pose diagnostic and therapeutic dilemmas for primary care practitioners. The vague symptomatology and difficult correlation to specific organ pathology obscures clinical findings leading to incorrect diagnoses. Although most presentations of abdominal pain are benign, a significant number of patients have life-threatening conditions that require a meticulous approach to management in order to prevent morbidity and mortality.The skill in assessing patients presenting with abdominal pain is fundamental for all primary care doctors. This review will discuss an approach to the assessment and diagnosis of abdominal pain in the primary care setting.
腹痛是一种常见的临床表现，其病因多种多样，这常常给初级保健医生在诊断和治疗方面带来难题。由于症状不明确，且难以与特定器官的病理相关联，这使得临床发现变得模糊不清，从而导致误诊。虽然大多数腹痛表现为良性，但仍有相当数量的患者存在危及生命的情况，这需要细致的管理方法，以防止发病和死亡。对于所有初级保健医生来说，评估腹痛患者的技能是至关重要的。本文将讨论在初级保健环境中评估和诊断腹痛的方法。
