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[摘要] 目的：总结精神病患者合并外科急腹症的特点，以及围术期处理要点。方法：设156例精神病患者合并外科急腹症为A组，设同期160例非精神病患者外科急腹症为B组，对两组资料进行回顾性分析，行统计学处理。结果：A组具有无主诉、主诉不正确，症状体征不典型，病史查体资料采集困难，就诊晚、病情变化快，误诊率高，并发症多等特点。两组对照在主诉、腹痛腹胀程度、误诊率、术后并发症方面差异有统计学意义，P＜0.05。结论：诊治精神病合并外科急腹症的患者，应了解其临床特点、早诊断、加强围术期处理、积极果断治疗。若不及时发现和果断处理，往往造成严重后果。
[关键词] 精神病；急腹症；围术期；临床分析
[中图分类号] R749 [文献标识码]A[文章编号]1674-4721（2011）07（a）-040-03
Clinical analysis of psychopaths merger surgical acute abdominal disease
CHEN Zhiqiang, DONG Jingnian
Huayi Hospital of Changping District, Beijing 102208, China
[Abstract] Objective：To summarize the characteristics of mental illness complicated with acute abdomen, and the perioperative main treatment points. Methods: 156 cases of mental illness complicated with surgical acute abdomen as the A group, set up the same period 160 cases of acute abdomen of non-mentally ill as the B group, retrospectived analyzed of two sets of data, and analyzed statistically. Results: A group with no complaints, the main complaint was not correct, signs and symptoms were not typical, history of physical examination data collection difficulties, late treatment, the condition changed quickly, easily misdiagnosed, more complications and so on. The main complaints, abdominal pain, abdominal distention level, the misdiagnosis rate, postoperative complications in the two groups were significantly different, P 两组比较χ2=11.16，P
