老年人急腹症123例诊疗分析

The Analysis of Diagnosis and Treatment of Acute Abdominal Pain in Ederly

目的：探讨老龄急腹症的临床特征和治疗对策。方法：回顾性分析1992-2004年间收治的123例老年人急腹症患者的临床资料。结果：123例患者中治愈101例(占82.1％),好转10例(8.1％),死亡12例(9.8％)。结论：高龄急腹症病变迅速,手术治疗并发症率及死亡率高,年龄并非老年人手术治疗禁忌证及致死的主要原因,关键在于重要脏器储备功能、急腹症严重程度、就诊时间及有效的治疗。

Subjective：To investigate the clinic characters and treatment strategy in acute abdominal pain in elderly. Methods：The clinical data of 123 cases acute abdominal pain in elderly who had been treated from 1992 to 2004 were analyzed retrospectively. Results： 101 cases have been recovered （82.1%） and 10 better （8.1%） and 12 died（9.8%）. Conclusions： The state of illness advances quickly in acute abdominal pain in elderly. The ratios of complications and dead are very higher .The age is not the main reason in treatment and dead, only sticking points in repertoire functions in importance organs, severity degree of acute abdominal pain, treatment times and so on.