老年急腹症340例诊断与治疗  

Diagnosis and treatment of acute abdomen in old-aged patients in 340 cases

作　　者：艾元斌[1] 李辉[1] 

机构地区：[1]成都市第二人民医院普通外科,四川成都610017

出　　处：《局解手术学杂志》2011年第3期276-277,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨常见老年外科急腹症的临床特点及诊断与治疗。方法对340例老年急腹症病例资料进行回顾性分析,统计患者术前误诊情况、合并疾病、术后并发症及死亡原因等情况,并进行相关诊治分析。结果手术治疗285例,非手术治疗55例。323例治愈,17例死亡。结论老年外科急腹症的特点是发病急、发展迅速、多合并不同程度的内科疾病,临床表现不典型,容易导致误诊,早期诊断,与内科协作处理并发症,选择合适的手术方法和麻醉方式,掌握好手术时机,能减少老年急腹症患者的术后并发症和死亡率。Objective To investigate the clinical characteristics,diagnosis and treatment of acute abdomen in old-aged patients.Methods The clinical data of 340 cases of acute abdomen in old-aged patents were retrospectively analyzed.The misdiagnosis before operation,co-diseases,complications and causes for death were studied and counted.Results Surgical treatment was applied in 285 cases while non-surgical treatment in 55 cases.Totally 323 cases were cured and 17 cases died.Conclusion The characteristics of acute abdomen in old-aged patients are quick onset and development,usually complicated with internal disease at different extents.Misdiagnosis is prone to occur due to atypical clinical manifestation.Early diagnosis,cooperating with internal physicians,choosing appropriate operation,anesthesia methods and right operation time can reduce postoperative complications and mortality rates

关 键 词：老年 急腹症 诊断 治疗 

分 类 号：R656.1[医药卫生—急诊医学]