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目的总结小儿内科急性腹痛的临床诊断以及处理的有效方法。方法回顾性分析200例小儿内科急性腹痛患儿的临床资料,总结临床诊断和处理的具体方法 ,分析诊疗效果。结果 200例患儿经过临床诊断均得到了有效的对症治疗,诊断准确率为100%(200/200),未出现误诊或是漏诊的情况;治疗前200例患儿均存在不同程度的疼痛情况,疼痛率为100.0%(100/100),其中1级疼痛58例、2级疼痛108例、3级疼痛34例;治疗后200例患儿的疼痛情况明显减轻,疼痛率为11.5%(23/200),23例患儿均表现为1级疼痛。治疗后患儿疼痛率低于治疗前,差异具有统计学意义(P<0.05)。结论小儿内科急性腹痛的发病原因比较复杂,医生需要充分分析患儿的临床表现配合辅助检查,帮助患儿尽早确诊并展开对症治疗,从而实现对病情的改善。
Objective To summarize the clinical diagnosis and treatment of acute abdominal pain in children. Methods The clinical data of 200 pediatric patients with acute abdominal pain were retrospectively analyzed. The specific methods of clinical diagnosis and treatment were summarized, and the clinical effects were analyzed. Results 200 cases of children after clinical diagnosis have been effective symptomatic treatment, the diagnostic accuracy was 100% (200/200), did not appear misdiagnosis or missed diagnosis; treatment of 200 cases of children with varying degrees of pain , The pain rate was 100.0% (100/100). Among them, Grade 1 pain was 58 cases, Grade 2 pain was 108 cases and Grade 3 pain was 34 cases. Pain was relieved in 200 cases after treatment, and the pain rate was 11.5% (23 / 200), 23 cases of children showed grade 1 pain. The pain rate in children after treatment was lower than before treatment, the difference was statistically significant (P <0.05). Conclusion The incidence of acute abdominal pain in pediatric medicine is complicated. Doctors need to fully analyze the clinical manifestations of children with the auxiliary examination to help children diagnosed and symptomatic treatment as soon as possible, in order to achieve the improvement of the condition.