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目的探讨急腹症的鉴别诊断及急诊保守治疗和住院手术治疗两种治疗方案的经验。方法采用详细病史采集,严格的体格检查、血常规、尿常规、血尿淀粉酶、B超、X光、腹部CT等检查手段,以明确诊断,并针对不同情况给予紧急手术或保守治疗。结果 60例病例全部救治成功,其中手术治疗40例,占66.7%;非手术保守治疗20例,占33.3%。治愈48例(占80%),好转12例(占20%),无死亡病例。结论全面详细收集患者的临床资料,掌握科学的诊断步骤和诊治思路,综合、细致、全面、科学地分析,是正确诊断急腹症的关键。
Objective To investigate the differential diagnosis of acute abdomen and acute conservative treatment and hospitalized surgical treatment of two kinds of treatment experience. Methods A detailed medical history collection, strict physical examination, blood, urine, hematuria, B-ultrasound, X-ray and abdominal CT examination were used to confirm the diagnosis and emergency surgery or conservative treatment for different situations. Results All the 60 cases were successfully treated, of which 40 cases were treated surgically (66.7%), and 20 cases were non-surgical conservative treatment (33.3%). 48 cases were cured (80%), improved in 12 cases (20%), no deaths. Conclusion It is the key to correct diagnosis of acute abdomen disease by comprehensively collecting the clinical data of patients, mastering the scientific diagnosis steps and diagnosis and treatment methods, comprehensively, carefully, comprehensively and scientifically.