即时超声检查在常见急性腹痛中的应用
Application of Point-of-Care Ultrasonography in Common Acute Abdominal Pain
DOI: 10.12677/acm.2026.161306, PDF,   
作者: 罗天凤*, 陈美静, 唐光甫：重庆市万州区上海医院超声科，重庆；王 鑫*：川北医学院临床医学院，四川 南充；任泽宇, 李雪娇, 王晓龙#：重庆医科大学第二临床学院急救部，重庆；彭科兴#：重庆市万州区上海医院超声科，重庆；重庆医科大学第二临床学院急救部，重庆
关键词: 即时超声检查；急性腹痛；Point-of-Care Ultrasonography (POCUS)； Acute Abdominal Pain (AAP)
摘要: 急性腹痛(Acute abdominal pain, AAP)是发病率仅次于发热与胸痛的急诊常见症状，如何对此类患者进行快速又准确地判断直接影响疾病预后。即时超声检查(Point-of-Care Ultrasonography, POCUS)一直被认为是急诊诊疗中重要的检查手段之一。POCUS具有较高的敏感性与特异性，是很多AAP的首选检查手段；对于腹主动脉瘤而言，POCUS甚至是筛查、随访的金标准。如何进一步推广由急诊医生执行POCUS一直是临床重点与难点之一。本文就POCUS在常见AAP如急性胆囊炎、急性阑尾炎、腹主动脉瘤、肠梗阻、异位妊娠等疾病中的应用做一综述，以进一步明确该检查在急诊科的价值。
Abstract: Acute Abdominal Pain (AAP) is one of the most common emergency symptoms, with an incidence second only to fever and chest pain. The rapid and accurate assessment of patients with such symptoms directly affects disease prognosis. Point-of-Care Ultrasonography (POCUS) has long been recognized as one of the important examination methods in emergency diagnosis and treatment. POCUS has high sensitivity and specificity, and serves as the first-choice examination method for many cases of AAP; for abdominal aortic aneurysm (AAA), POCUS is even the gold standard for screening and follow-up. How to further promote the implementation of POCUS by emergency physicians has long been one of the key priorities and challenging issues in clinical practice. This article reviews the application of POCUS in common AAP-related diseases, such as acute cholecystitis, acute appendicitis, abdominal aortic aneurysm, intestinal obstruction, and ectopic pregnancy, aiming to further clarify the value of this examination in the emergency department.
文章引用：罗天凤, 王鑫, 陈美静, 唐光甫, 任泽宇, 李雪娇, 王晓龙, 彭科兴. 即时超声检查在常见急性腹痛中的应用[J]. 临床医学进展, 2026, 16(1): 2444-2454. https://doi.org/10.12677/acm.2026.161306

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