Clifford P C, Chan M, Hewett D J
Ann R Coll Surg Engl. 1986 Jul;68(4):182-4.
This paper describes the management consequences of the use of a microcomputer as a special investigation in patients with an acute abdomen. Results in 812 patients seen by 42 junior doctors are compared six monthly and with baseline data from 295 cases from the preceding 2 years. Improvement in diagnostic ability from 48.5% to 71.8% (X2 = 25.8, P less than 0.001) resulted in a fall in negative appendicectomy from 37.5% to 9.71% (X2 = 16.2, P = less than 0.001). Bad management errors were also reduced from 22% to 10% (P = less than 0.01). The number of emergency investigation fell from 4 to 2 and inpatient stay of patients with non-surgical abdominal pain was reduced from 3 to 2 days. These results demonstrate that the use of microcomputers as investigative tools improves the surgical management of patients with acute abdominal pain.
本文描述了将微型计算机用作急腹症患者特殊检查手段所带来的管理结果。对42名初级医生诊治的812例患者的结果每六个月进行一次比较，并与前两年295例患者的基线数据进行对比。诊断能力从48.5%提高到71.8%（X² = 25.8，P < 0.001），导致阴性阑尾切除术的比例从37.5%降至9.71%（X² = 16.2，P < 0.001）。严重管理失误也从22%降至10%（P < 0.01）。急诊检查次数从4次降至2次，非手术性腹痛患者的住院时间从3天减至2天。这些结果表明，将微型计算机用作检查工具可改善急腹症患者的手术管理。
