成人非创伤性急腹症早期镇痛专家共识

2021-01-17 国内急诊/重症相关专家小组(统称) 中国急救医学.2021.41(1):11-17.

急性腹痛会使患者心率增快、血管收缩、心肌耗氧量和心脏负荷增加,从而增加心肌缺血及心肌梗死的风险。急性腹痛还会引起交感神经系统的兴奋性增加,导致全身组织的耗氧增加,胃肠蠕动减弱影响其功能,尿道及膀胱肌肉

中文标题:

成人非创伤性急腹症早期镇痛专家共识

发布日期:

2021-01-17

简要介绍:

急性腹痛会使患者心率增快、血管收缩、心肌耗氧量和心脏负荷增加,从而增加心肌缺血及心肌梗死的风险。急性腹痛还会引起交感神经系统的兴奋性增加,导致全身组织的耗氧增加,胃肠蠕动减弱影响其功能,尿道及膀胱肌肉动力减弱引起尿潴留,以及促发深静脉血栓形成甚至造成肺栓塞。此外,还会造成患者情绪焦虑、无助、沮丧,以及家属的恐慌等。传统观点认为,NTAA 患者在未明确诊断之前不能使用镇痛剂,以避免因使用镇痛剂掩盖病情、改变体征,影响对病情的准确判断,甚至导致误诊、误治。随着循证医学的发展,越来越多的国内外研究结果表明,早期、正确地使用镇痛剂不仅可以明显减轻NTAA 患者的疼痛、改善患者的感受,而且不影响诊断的准确率。还有一些研究结果提示,NTAA 患者早期使用镇痛剂后的诊断准确率高于不使用镇痛剂的患者。虽然越来越多的证据支持在NTAA 早期使用镇痛剂,但目前国内外仍缺乏NTAA 早期镇痛相关的指南或规范。本共识专家组基于现有研究证据并结合临床实践,探讨了成人NTAA 早期镇痛的依据、原则、方法及注意事项等并达成共识,为临床工作提供科学、规范的建议。

 

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    2022-01-21 ms8000000135483405

    谢谢分享

    0

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    2021-12-18 中医护理人徐

    谢谢分享

    0

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    2021-11-15 tracy117

    0

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    2021-11-08 ms9000001053506349

    值得我们好好学习一下。

    0

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    2021-10-13 ms8000001209014685

    攒积分下指南

    0

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