Chirurgische Alarmsymptome sind ein häufiger Grund für eine Vorstellung in der Praxis. Es gilt diese zu erkennen und richtig zu interpretieren, da sich oftmals eine unmittelbare therapeutische (chirurgische) Konsequenz daraus ableitet. Beispielsweise kann der akute epigastrische Schmerz Zeichen einer Magenperforation sein.
Literatur
Irvin TT. Abdominal pain: a surgical audit of 1190 emergency admissions. Br J Surg 1989; 76: 1121–5.
Grundmann RT, Petersen M, Lippert H, Meyer F. [The acute (surgical) abdomen - epidemiology, diagnosis and general principles of management]. Z Gastroenterol 2010; 48: 696–706.
Ng CY, Squires TJ, Busuttil A. Acute abdomen as a cause of death in sudden, unexpected deaths in the elderly. Scott Med J 2007; 52: 20–3.
Manterola C, Astudillo P, Losada H, Pineda V, Sanhueza A, Vial M. Analgesia in patients with acute abdominal pain. Cochrane Database Syst Rev 2007: CD005660.
Lameris W, van Randen A, Dijkgraaf MG, Bossuyt PM, Stoker J, Boermeester MA. Optimization of diagnostic imaging use in patients with acute abdominal pain (OPTIMA): Design and rationale. BMC Emerg Med 2007; 7: 9.
Lameris W, van Randen A, van Es HW et al. Imaging strategies for detection of urgent conditions in patients with acute abdominal pain: diagnostic accuracy study. BMJ 2009; 338: b2431.
Birchard KR, Brown MA, Hyslop WB, Firat Z, Semelka RC. MRI of acute abdominal and pelvic pain in pregnant patients. AJR Am J Roentgenol 2005; 184: 452–8.
Golash V, Willson PD. Early laparoscopy as a routine procedure in the management of acute abdominal pain: a review of 1,320 patients. Surg Endosc 2005; 19: 882–5.
Thomson HJ, Jones PF. Active observation in acute abdominal pain. Am J Surg 1986; 152: 522–5.
Toorenvliet BR, Bakker RF, Flu HC, Merkus JW, Hamming JF, Breslau PJ. Standard outpatient re-evaluation for patients not admitted to the hospital after emergency department evaluation for acute abdominal pain. World J Surg 2010; 34: 480–6.
Bobbio A, Dechartres A, Bouam S et al. Epidemiology of spontaneous pneumothorax: gender-related differences. Thorax 2015; 70: 653–8.
Schnell J, Koryllos A, Lopez-Pastorini A, Lefering R, Stoelben E. Spontaneous Pneumothorax. Dtsch Arztebl Int 2017; 114: 739–44.
Hughes GC, Andersen ND, McCann RL. Management of acute type B aortic dissection. J Thorac Cardiovasc Surg 2013; 145: S202–7.
Conzelmann LO, Weigang E, Mehlhorn U et al. Mortality in patients with acute aortic dissection type A: analysis of pre- and intraoperative risk factors from the German Registry for Acute Aortic Dissection Type A (GERAADA). Eur J Cardiothorac Surg 2016; 49: e44–52.
Hiatt WR, Goldstone J, Smith SC, Jr. et al. Atherosclerotic Peripheral Vascular Disease Symposium II: nomenclature for vascular diseases. Circulation 2008; 118: 2826–9.
Vink A, Schoneveld AH, Poppen M, de Kleijn DP, Borst C, Pasterkamp G. Morphometric and immunohistochemical characterization of the intimal layer throughout the arterial system of elderly humans. J Anat 2002; 200: 97–103.
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Bösch, F., Werner, J. & Angele, M.K. Chirurgische Alarmsymptome richtig interpretieren. MMW - Fortschritte der Medizin 161, 52–57 (2019). https://doi.org/10.1007/s15006-019-0361-7
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DOI: https://doi.org/10.1007/s15006-019-0361-7