急腹症保守性治疗方法与手术治疗方法时机选择观察

摘要

Objective Through contrast analysis of patients,the rational choice of timing between conservative treatment and operative treatment of acute abdominal disease will be analyzed. Methods 146 acute abdominal disease patients were selected randomly in the Seventh People’s Hospital of Zhengzhou. The paper elaborated the patients’diagnosis,identification and the choice of therapeutic method by adopting retrospective analysis method. Results After diagnosis and identification of 146 patients,116 cases were under conservative treatment and 30 under operative treatment,in which 6 cases under conservative treatment were operated on after three days due to futile treatment. Conclusion By correct clinical diagnosis and doctors’prudent analysis and judgment,clinical characteristics of acute abdominal disease patients will be analyzed and summaried. Therefore,the correct choice between conservative treatment and operative treatment will be made to help patients make an early treatment and increase clinical cure rate.%目的：通过病例对照分析，分析急腹症保守性治疗方法及手术治疗时机的合理选择。方法随机抽取郑州市第七人民医院自2012年3月～2015年10月收治的急腹症患者共146例，采取回顾性分析方法，阐述急腹症患者的诊断、鉴别及治疗方法选择。结果146例患者经诊断与鉴别后，选择保守性治疗116例，手术治疗30例，其中6例患者经保守性治疗3 d 后无效转为手术治疗，经治疗后共146例（100%）患者痊愈，无死亡病例。结论通过正确的临床诊断以及医生谨慎的分析判断，总结并分析急腹症患者的临床特征，准确选择保守性治疗方法或手术治疗方法，能够帮助患者及早治疗，提高临床治愈率。