Journal of the Korean Academy of Family Medicine 1989;10(2):22-30.
Published online February 1, 1989.

대학병원 응급실을 내원한 복통환자의 임상적고찰

남기남 김석현 이철원 이혜리 윤방부

연세대학교 가정의학교실

Abstract

Abdominal pain is a frequently encountered symptom not only in emergency room of university hospitals but to family physicians in primary care.
A total of 1561 patients with abdominal pain admitted Severance Hospital for one year were analyzed to assess the role of family physicians in emergency care and to describe diagnostic content and range of family physicians with disease associated with abdominal pain at a primary care level.
The results are as follows.
1. Most of the patients admitted with abdominal pain of different disease entities did not differ significantly with repeat to their location of pain, associated symptoms and result of the laboratory findings.
2. Admission rates of patients with abdominal pain were 1.7 times greater than the rate of the total number of patients admitted.
3. Most of the patients had disease that could be diagnosed at a primary care level.
4. There were many instances where surgery was indicated such as appendicitis and ectopic pregnancy.
In summary, family physicians having the knowledge and skills to differentiate patients with abdominal pain are required to play an active role as a coordinator not only in a primary care setting but in any emergency situation, and which necessitates surgical therapy emphasizing the need of firm relationships with doctor in surgical fields.