Camus-Kerebel C, Malledant Y, Joly A
Service d'Anesthésie-Réanimation Chirurgicale, CHRU Pontchaillou, Rennes.
Cah Anesthesiol. 1996;44(4):335-9.
Despite physiological advances and recent progress in pain relief, early analgesia for patients with acute abdominal pain is not a conventional endpoint. In clinical practice, priority is often given to diagnosis and management decisions. There are few controlled trials to settle the issue and opinions are still divided. recent studies suggest than early and effective analgesia in acute abdomen does not interfere with diagnosis, and even facilitates initial examination. Various modes of analgesia can be considered.
尽管在生理学方面取得了进展,且近期在疼痛缓解方面也有进步,但对急性腹痛患者进行早期镇痛并非一个传统的终点目标。在临床实践中,通常优先考虑诊断和管理决策。很少有对照试验来解决这个问题,观点仍然存在分歧。最近的研究表明,在急腹症中进行早期有效镇痛不会干扰诊断,甚至有助于初步检查。可以考虑多种镇痛方式。