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摘要: 腹部卒中，也称特发性自发性腹腔内出血(ISIH)，是非创伤性腹腔内出血的罕见原因。是临床上较罕见的急腹症，因其起病急骤、病情危重及病死率高等原因，该疾病经常会在急诊科进行初步诊治。临床上通常表现为骤然发生的腹痛和低血容量性休克，由于缺乏特征性临床表现，且无特异性辅助检查方法及明确的诊断标准，确切的病因及发病机制尚未明确，因此误诊率及病死率高。本文对腹部卒中的病因、临床表现、诊断、治疗及预后等进行综述，以期为腹部卒中的诊断及治疗提供参考。Abstract: Abdominal stroke, also known as idiopathic spontaneous intra-abdominal hemorrhage (ISIH), is a rare cause of nontraumatic intra-abdominal hemorrhage. It is a clinically rare acute abdomen. Because of its rapid onset, critical condition, and high mortality, the disease is often initially diagnosed and treated in the emergency department. The clinical manifestations are usually sudden abdominal pain and hypovolemic shock. Due to the lack of characteristic clinical manifestations, and no specific auxiliary examination methods and clear diagnostic criteria, the exact etiology and pathogenesis have not been clarified, so the misdiagnosis rate and death. high rate. This article reviews the etiology, clinical manifestations, diagnosis, treatment and prognosis of abdominal stroke, in order to provide reference for the diagnosis and treatment of abdominal stroke.
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Key words:
- abdominal stroke /
- spontaneous bleeding /
- diagnosis /
- treatment
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