Abbas Institute of Medical Sciences, Muzaffarabad-AJK.
J Ayub Med Coll Abbottabad. 2024 Jan-Mar;36(1):165-169. doi: 10.55519/JAMC-01-12997.
Acute abdomen is one of the few conditions that require immediate surgical intervention most of the time. However, not all cases of acute abdomen need surgery. The objective was to determine the various presentations of acute abdomen and their management outcome in patients presenting with acute abdomen to AIMS, Muzaffarabad, Azad Jammu and Kashmir, Pakistan.
This prospective cohort study included individuals aged 18 and above who presented with abdominal pain lasting at least eight hours. Patients with trauma-induced abdominal pain were excluded. Consecutive non-probability sampling facilitated participant recruitment.
The majority (54%) were young, and males outnumbered females (62.61% and 37.39% respectively. Most patients presented within 8 hours of pain onset, diabetes and hypertension were the commonest comorbid. Mild pain was most common at presentation. In descending order, acute Appendicitis, acute cholecystitis, acute pancreatitis, intestinal obstruction, Peritonitis, UTIs, and gynaecological & obstetric conditions were the frequent reasons for abdominal pain.
Recognizing the patterns of conditions that present as acute abdomen is essential for healthcare planners to develop effective treatment protocols, as incorrect management can lead to significant consequences.
急性腹痛是少数几种大多数情况下需要立即手术干预的病症之一。然而，并非所有急性腹痛病例都需要手术。本研究旨在确定在巴基斯坦阿扎德查谟和克什米尔穆扎法拉巴德的 AIMS 医院就诊的急性腹痛患者的各种表现及其处理结果。
这是一项前瞻性队列研究，纳入了腹痛持续至少 8 小时的 18 岁及以上个体。排除了因创伤引起的腹痛患者。连续非概率抽样有助于招募参与者。
大多数（54%）患者年龄较轻，男性多于女性（分别为 62.61%和 37.39%）。大多数患者在疼痛发作后 8 小时内就诊，糖尿病和高血压是最常见的合并症。就诊时最常见的是轻度疼痛。按降序排列，急性阑尾炎、急性胆囊炎、急性胰腺炎、肠梗阻、腹膜炎、尿路感染和妇科及产科疾病是腹痛的常见原因。
认识到以急性腹痛为表现的病症模式对于医疗保健规划者制定有效的治疗方案至关重要，因为不正确的治疗可能会导致严重后果。
