Edwards M W, Forman W M, Walton J
J R Coll Gen Pract. 1985 May;35(274):235-8.
An audit of 150 consecutive cases of abdominal pain presenting to an urban teaching practice between October 1983 and May 1984 was performed. The median duration of pain prior to presentation was two days. Females predominated in all age groups.Eighty-nine per cent of these patients were managed entirely in the practice and of these, 52 per cent were managed with reassurance and advice alone, while 48 per cent also received a prescription. Only 15 per cent of patients were investigated in any way by the practice. Of the 17 patients (11 per cent) referred, nine were referred as emergencies and eight were admitted that day. However, there were only three true surgical emergencies in the entire series (one appendicitis, one intussusception and one fulminating pancreatitis).
对1983年10月至1984年5月间在城市教学诊所就诊的150例连续性腹痛病例进行了一项审计。就诊前疼痛的中位持续时间为两天。各年龄组中女性占多数。这些患者中有89%完全在诊所接受治疗，其中52%仅通过安慰和建议进行处理，而48%还接受了处方治疗。诊所仅对15%的患者进行了任何形式的检查。在转诊的17例患者（11%）中，9例作为急诊转诊，8例当日入院。然而，在整个系列中仅有3例真正的外科急诊（1例阑尾炎、1例肠套叠和1例暴发性胰腺炎）。
