Jess P, Bjerregaard B, Brynitz S, Holst-Christensen J, Kalaja E, Lund-Kristensen J, Matzen P
Am J Surg. 1982 Sep;144(3):338-40. doi: 10.1016/0002-9610(82)90015-0.
In a prospective study of 230 patients followed up for 5 years after hospital admission for acute non-specific abdominal pain, 21 patients (9 patients) could not be traced, and 11 (5 percent) had died. Only one death was related to symptoms from the first admission. Of the remaining 198 patients, 77 percent were healthy and free of any symptoms during the observation period. Fourteen patients (7 percent) had been hospitalized once more due to acute abdominal pain; 5 had acute appendicitis. The others had diagnosed recurrences of nonspecific abdominal pain. Sixteen percent complained of continuing of intermittent abdominal symptoms, mainly of benign colonic or gynecologic origin, while malignant disease developed in 1 percent (or 4 percent of patients over 50 years of age). It is concluded that control of these patients is generally unnecessary, but when symptoms recur further examinations, especially for colonic or gynecologic disease, should be carried out. In patients over 50 years old, the possibility of malignant disease should be kept in mind.
在一项对230例因急性非特异性腹痛入院后随访5年的前瞻性研究中，21例患者（9例）失访，11例（5%）死亡。仅1例死亡与首次入院时的症状有关。在其余198例患者中，77%在观察期内健康且无症状。14例患者（7%）因急性腹痛再次住院；5例为急性阑尾炎。其他患者被诊断为非特异性腹痛复发。16%的患者主诉持续或间歇性腹部症状，主要源于良性结肠或妇科疾病，而1%的患者（或50岁以上患者的4%）发生了恶性疾病。结论是，一般无需对这些患者进行管控，但当症状复发时，应进一步检查，尤其是针对结肠或妇科疾病。对于50岁以上的患者，应考虑恶性疾病的可能性。
