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笔者1987年2月至1999年12月,在所收治的813例急腹症中,对其中486例进行腹腔穿刺术(以下简称腹穿),及时作出诊断,为此本人就腹穿在急腹症诊断中的应用及价值进行探讨。 1.临床资料 本组男性306例,女性180例,17岁以下110例,60岁以上90例,486例中,发病至穿刺时间最长15天,最短30分钟,累计穿刺523次,阳性率达96.2％。 2.讨论 2.1 穿刺方法:腹部上、下、左、右四个象限均可穿刺,以肌卫及压痛点最明显处为最佳,且必须位于腹直肌外
The author from February 1987 to December 1999, 813 cases of acute abdomen admitted in the treatment of which 486 cases of abdominal paracentesis (hereinafter referred to as abdominal perforation), make a timely diagnosis, for which I peritoneal wear in the abdomen The application and value of disease diagnosis are discussed. 1. Clinical data The group of 306 males, 180 females, 110 under 17 years of age, 90 cases over the age of 60, 486 cases, the onset time to puncture up to 15 days, the shortest 30 minutes, the cumulative puncture 523 times, the positive rate Up to 96.2%. 2. Discussion 2.1 puncture method: upper and lower abdomen, left and right quadrant can be punctured to Myeong Wei and tenderness point at the most obvious and best, and must be located outside the rectus abdominis muscle