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目的探讨腹腔穿刺术在精神病患者急腹症中的临床应用价值.方法对51例急腹症精神病患者行诊断性腹腔穿刺术的临床资料进行回顾性分析总结.其中男29例,女22例;腹腔炎症性疾病38例,腹部闭合性损伤11例,腹腔绞窄性血管性疾病2例.结果51例中符合诊断44例,诊断符合率为86.3%,其中腹腔炎症性疾病符合诊断33例,符合率86.8%;腹部闭合性损伤符合诊断10例,符合率90.9%;腹腔绞窄性血管性疾病符合诊断1例,符合率50%.结论腹腔穿刺术简便、安全、迅速、诊断符合率高,是辅助确诊精神病急腹症患者的有效方法.
Objective To investigate the clinical value of abdominal paracentesis in acute patients with mental illness.Methods The clinical data of 51 cases of acute abdomen mental patients undergoing diagnostic paracentesis were retrospectively analyzed and summarized, including 29 males and 22 females; 38 cases of abdominal inflammatory disease, 11 cases of abdominal closed injury and 2 cases of peritoneal lacrimal vascular disease.Results Of the 51 cases, 44 cases were diagnosed and the coincidence rate was 86.3%, of which 33 cases were diagnosed as abdominal inflammatory diseases, The coincidence rate was 86.8%. The abdominal closed injury was coincident with the diagnosis of 10 cases and the coincidence rate was 90.9%. One case of peritoneal strangulation vascular disease was diagnosed and the coincidence rate was 50% .Conclusion The abdominal paracentesis is simple, safe and rapid, with high diagnostic accuracy , Is an effective method to confirm the diagnosis of patients with acute abdomen.