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[临床急症医学中急腹症的管理:聚焦于胃肠道疾病]

[Management of acute abdomen in clinical acute and emergency medicine : Focus on gastrointestinal diseases].

作者信息

Kasper Philipp, Chon Seung-Hun, Steffen Hans-Michael, Demir Münevver, Holzapfel Bianca, Jaspers Natalie, Neumann-Haefelin Christoph

机构信息

Klinik für Gastroenterologie und Hepatologie, Universitätsklinikum Köln, Kerpener Str. 62, 50937, Köln, Deutschland.

Klinik für Allgemein‑, Viszeral‑, Tumor- und Transplantationschirurgie, Universitätsklinikum Köln, Köln, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2025 Sep 10. doi: 10.1007/s00063-025-01321-5.

Abstract

Acute abdomen can represent a serious clinical condition with a variety of different and potentially life-threatening underlying causes. Rapid identification of the underlying etiology through a structured approach and the prompt initiation of adequate diagnostic and treatment measures is highly relevant in order to reduce the patient's mortality risk. This article provides an overview of important differential diagnoses of an acute abdomen and describes recommended diagnostic and therapeutic measures that are relevant in acute and emergency clinical care.

摘要

急腹症可能代表一种严重的临床状况,其潜在病因多种多样且可能危及生命。通过结构化方法快速识别潜在病因,并迅速启动适当的诊断和治疗措施,对于降低患者的死亡风险至关重要。本文概述了急腹症的重要鉴别诊断,并描述了在急性和急诊临床护理中相关的推荐诊断和治疗措施。

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