急性腹痛的疼痛管理及诊断研究现状
Research Status of Pain Management and Diagnosis of Acute Abdominal Pain

DOI: 10.12677/ACREM.2020.81001, PP. 1-5

Keywords: 急性腹痛，急腹症，影像学，诊断，综述文献
Acute Abdominal Pain, Acute Abdomen, Imaging, Diagnosis, Review Literature

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Abstract:

急性腹痛是急诊和普外相关科室最常见的情况之一，它具有起病急、病因复杂、病情严重程度不一的特点，医护人员应给予充分重视，以免错过最佳治疗时机，造成严重后果。近年来，随着临床技术的进步，对明确急性腹痛病因也得到了较大的提升。准确的获得急性腹痛患者的基本情况及病史，及时的获得患者的影像学资料，及早的明确诊断，尽早开始镇痛治疗，对一个急性腹痛患者来说是刻不容缓的。本文旨在围绕急性腹痛的疼痛管理及其诊断展开论述。
Acute abdominal pain is one of the most common conditions in emergency departments and general surgery departments, which has the characteristics of acute onset, complex etiology and different severity of the disease, so doctors and nurses should pay full attention to it so as not to miss the best time for treatment and cause serious consequences. In recent years, with the progress of clinical technology, the diagnosis of the cause of acute abdominal pain has been greatly improved. It is urgent for a patient with acute abdominal pain to accurately obtain the basic situation and medical history of patients with acute abdominal pain, to obtain the imaging data of patients in time, to make a definite diagnosis as early as possible, and to start analgesic treatment as soon as possible. The purpose of this paper is to discuss the pain management and diagnosis of acute abdominal pain.

References

[1]	Grundmann, R.T., Petersen, M., Lippert, H., et al. (2010) The Acute (Surgical) Abdomen—Epidemiology, Diagnosis and General Principles of Management. Ztschrift für Gastroenterologie, 48, 696-706. https://doi.org/10.1055/s-0029-1245303
[2]	Miettinen, P., Pasanen, P., Lahtinen, J., et al. (1996) Acute Ab-dominal Pain in Adults. Annales Chirurgiae et Gynaecologiae, 85, 5-9.
[3]	Stork, B. and HofmannKiefer, K. (2008) Analgesia as an Important Component of Emergency Care. Notfall + Rettungsmedizin, 11, 427-438. https://doi.org/10.1007/s10049-008-1093-x
[4]	Carr, D.B. and Goudas, L.C. (1999) Acute Pain. The Lancet, 353, 2051-2058. https://doi.org/10.1016/S0140-6736(99)03313-9
[5]	孙军杰. 急诊内科急性腹痛患者的诊治体会[J]. 中国处方药, 2016, 14(3): 108-109.
[6]	Falch, C., Vicente, D., Berle, H., et al. (2014) Treatment of Acute Abdominal Pain in the Emergency Room: A Systematic Review of the Literature. European Journal of Pain, 18, 902-913. https://doi.org/10.1002/j.1532-2149.2014.00456.x
[7]	Nissman, S.A., Kaplan, L.J. and Mann, B.D. (2003) Criti-cally Reappraising the Literature-Driven Practice of Analgesia Administration for Acute Abdominal Pain in the Emer-gency Room Prior to Surgical Evaluation. American Journal of Surgery, 185, 291-296. https://doi.org/10.1016/S0002-9610(02)01412-5
[8]	Mills, A.M., Shofer, F.S., Chen, E.H., et al. (2009) The As-sociation between Emergency Department Crowding and Analgesia Administration in Acute Abdominal Pain Patients. Academic Emergency Medicine, 16, 603-608. https://doi.org/10.1111/j.1553-2712.2009.00441.x
[9]	Matej, Marinsek, Dragan, et al. (2007) Analgesic Treatment and Predictors of Satisfaction with Analgesia in Patients with Acute Undifferentiated Abdominal Pain. European Journal of Pain, 11, 773-778. https://doi.org/10.1016/j.ejpain.2006.12.002
[10]	Jawaid, M., Masood, Z. and Ayubi, T.K. (2009) Pre-Operative Analgesia in the Accident and Emergency Department. Journal of the College of Physicians & Surgeons Pakistan, 19, 350-353.
[11]	Manterola, C., Vial, M., Moraga, J., et al. (2007) Analgesia in Patients with Acute Abdominal Pain. The Cochrane Library. John Wiley & Sons, Ltd., Hoboken. https://doi.org/10.1002/14651858.CD005660.pub2
[12]	Amoli, H.A., Golozar, A., Keshavarzi, S., et al. (2008) Morphine Analgesia in Patients with Acute Appendicitis: A Randomised Double-Blind Clinical Trial. Emergency Medi-cine Journal, 25, 586-589. https://doi.org/10.1136/emj.2007.050914
[13]	Gallagher, E.J., et al. (2006) Randomized Clinical Trial of Morphine in Acute Abdominal Pain. Annals of Emergency Medicine, 48, 150-160. https://doi.org/10.1016/j.annemergmed.2005.11.020
[14]	Kehlet, H. (2004) Effect of Postoperative Pain Treatment on Outcome—Current Status and Future Strategies. Langenbeck’s Archives of Surgery, 389, 244-249. https://doi.org/10.1007/s00423-004-0460-4
[15]	Reichl, S. and Pogatzki-Zahn, E. (2009) Concepts for Periopera-tive Pain Therapy. A Critical Stocktaking. Anaesthesist, 58, 914-916, 918-920, 922-926.
[16]	Wilder-Smith, O.H.G., M？hrle, J.J. and Martin, N.C. (2002) Acute Pain Management after Surgery or in the Emergency Room in Switzerland: A Comparative Survey of Swiss Anaesthesiologists and Surgeons. European Journal of Pain, 6, 189-201. https://doi.org/10.1053/eujp.2001.0328
[17]	Kehlet, H. and Holte, K. (2001) Effect of Postoperative Analgesia on Surgical Outcome. BJA British Journal of Anaesthesia, 87, 62-72. https://doi.org/10.1093/bja/87.1.62
[18]	张绍华. 急诊内科急性腹痛患者的诊治体会[J]. 心血管病防治知识(学术版), 2016(2): 145-146.
[19]	陈孝平, 汪建平, 赵继宗. 外科学[M]. 北京: 人民卫生出版社, 2018.
[20]	王康, 赵泽华, 王之, 张国桢, 王伟忠, 徐嵩森, 张淼, 刘文瑾, 奉典旭. 应用多层螺旋CT多方位重建技术诊断急性阑尾炎的价值[J]. 中华放射学杂志, 2005(2): 65-68.
[21]	郑佳, 梁国欣. 超声诊断胆囊结石临床价值分析[J]. 中国卫生标准管理, 2019, 10(20): 117-119.
[22]	瞿翔. B超检查在急腹症诊断检查中的应用价值[J]. 现代实用医学, 2017, 29(5): 672-674.
[23]	Bellanova, G., Valduga, P., Costa, A., et al. (2015) Double Intestinal Duplication and Incidental Neuroendocrine Tumor of Appendix, a Rare Case of Acute Abdomen. International Journal of Surgery Case Reports, 13, 116-118. https://doi.org/10.1016/j.ijscr.2015.06.021
[24]	朱云峰, 李建生, 马金良, 等. 三维重建技术在肝门部胆管癌术前评估中的价值[J]. 中国普通外科杂志, 2016, 25(2): 175-180.

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