Adelman A
J Fam Pract. 1987 Jul;25(1):27-32.
The characteristics of and final diagnoses for patients presenting with abdominal pain were investigated. This retrospective study examined 556 charts of patients 18 years of age and older who presented over a two-year period to three family practice offices. The charts were abstracted for demographic factors, symptoms, physical findings, laboratory data, final diagnosis, and number of visits for abdominal pain. The final diagnosis was documented by radiologic, laboratory, surgical, or pathologic specimen confirmation except for the following diagnoses: acute gastroenteritis, pelvic inflammatory disease, irritable bowel syndrome, and abdominal pain, etiology undetermined. No cause for the abdominal pain was found for approximately one half of the cases. Most patients were female even when gynecologic problems were excluded. Nine percent of abdominal pain patients were admitted to the hospital for evaluation or surgery. An average of 1.8 tests were ordered per patient. Almost one half of the patients were seen only once for the problem. The results suggest that a large percentage of the patients who present with abdominal pain have a self-limited illness for which no definitive diagnosis is found.
对出现腹痛症状的患者的特征及最终诊断结果进行了调查。这项回顾性研究检查了556例18岁及以上患者的病历，这些患者在两年时间内前往三个家庭医疗诊所就诊。病历摘要包括人口统计学因素、症状、体格检查结果、实验室数据、最终诊断以及腹痛就诊次数。除以下诊断外，最终诊断均通过放射学、实验室、手术或病理标本确认：急性肠胃炎、盆腔炎、肠易激综合征以及病因未明的腹痛。约一半的病例未发现腹痛病因。即使排除妇科问题，大多数患者仍为女性。9%的腹痛患者因评估或手术入院。每位患者平均进行1.8项检查。几乎一半的患者仅就该问题就诊过一次。结果表明，很大一部分出现腹痛症状的患者患有自限性疾病，未找到明确诊断。
