老年人腹部卒中3例并国内有关文献分析  

Three cases of abdominal stroke in the elderly and analysis of domestic literature

作　　者：潘力生[1] 方灿军[1] 聂宗杰[1] 

机构地区：[1]安徽医科大学附属安庆医院普外科,安庆246003

出　　处：《安徽医学》2013年第1期38-40,共3页Anhui Medical Journal

摘　　要：目的探讨老年人腹部卒中的诊断和治疗方法。方法回顾性分析安庆市立医院3例以及国内近10年文献报道39例共42例老年腹部卒中患者的病因、诊断、治疗。结果 90%患者有高血压病史;手术治疗39例,方法为血管缝扎,单纯腹腔冲洗,引流;介入栓塞治疗1例,保守治疗2例。痊愈38例,死亡4例。结论老年人腹部卒中临床少见,发病凶险,诊断困难,早期开腹手术止血,可大大提高患者治愈率。Objective To discuss the diagnosis and treatment of the elderly patients with abdominal apoplexy.Methods Three cases in our hospital and other 39 patients from literature documents were retrospectively analyzed in this paper in terms of the pathogenesis,diagnosis and treatment.Results A history of high blood pressure was found in 90% elderly patients.Angiorrhaphy,peritoneal irrigation and draining were adopted in the surgical treatment of 39 cases.Interventional embolization was performed in 1 patient.Expectant treatment was taken in 2 patients.Thirty-eight cases recovered and 4 cases died.Conclusion The elderly patients with abdominal apoplexy is rare.However,the development of disease is extremely dangerous and the diagnosis is very difficult.The method to improve the cure rate significantly is surgical hemostasis in the early phase.

关 键 词：腹部卒中 老年人 高血压 诊断 治疗 

分 类 号：R656.1[医药卫生—急诊医学]