外科急腹症48例临床诊疗分析

目的:探讨外科急腹症的早期诊断与治疗,以便总结经验,提高治愈率,降低致残率与病死率。方法:回顾性分析48例外科急腹症诊治的临床资料。结果:急诊手术40例,经严密观察后手术8例,术后并发症11例,治愈44例,死亡4例。结论:外科急腹症的诊断应结合病史,体征及辅助检查等综合判断。对其早期确诊与及时处置和手术治疗是降低病死率的关键。

Analysis of Diagnosis and Treatment of Surgical Acute Abdomen: 48 case reports

Objective: To investigate the diagnosis and treatment of surgical acute abdomen(SAA) and reduce the case fatality rate.Methods: The clinical data of 48 cases of SAA were retrospectively analysed.Results: Among the operative patients,there were 40 cases of emergency operation and 8 cases of after clear operative indication,with postoperative complication 11,the cured 44 and the dead 4.Conclusion: Combined with the patient's medical history,sign and accessory examinations,the diagnosis of SAA should be made,therefore,early diagnosis and reasonable management are the key to reducing case fatality rate of SAA.