Sandhu G S, Redmond A D, Prescott M V
Department of Emergency Medicine, North Staffordshire Hospital, Stoke-on-Trent, UK.
J R Coll Surg Edinb. 1995 Apr;40(2):109-11.
Non-specific abdominal pain (NSAP) is a benign condition with low morbidity. This follow-up study of 82 patients discharged from an emergency department after presenting with abdominal pain, during 1 calendar month, has shown that only 9.6% were diagnosed as having NSAP. It has been shown previously that 34.9% to 45.6% of patients presenting to an emergency department with abdominal pain will have NSAP. One large study showed that 88% of NSAP had improved or resolved at 2-3 weeks without specific treatment and few required subsequent hospitalization. In this study a number of patients were given diagnoses which could not be supported from the history or investigations. This is a potentially dangerous practice. NSAP is a diagnosis of exclusion and the patient may be reassured that the condition is most likely benign or self limiting and allowed home.
非特异性腹痛（NSAP）是一种发病率较低的良性疾病。这项对82例在1个日历月内因腹痛从急诊科出院的患者进行的随访研究表明，只有9.6%的患者被诊断为患有NSAP。此前有研究表明，因腹痛到急诊科就诊的患者中，34.9%至45.6%会患有NSAP。一项大型研究显示，88%的NSAP患者在2至3周内未经特殊治疗即有所改善或痊愈，很少需要随后住院治疗。在本研究中，一些患者得到的诊断无法从病史或检查中得到支持。这是一种潜在危险的做法。NSAP是一种排除性诊断，可让患者放心，该疾病很可能是良性的或自限性的，并允许其回家。
