关于老年人弥漫性腹膜炎疾病预后因素的临床研究

Clinical Study on Factors of the Prognosis of Generalized Peritonitis of Elderly Patients

目的探讨老年急性弥漫性腹膜炎(AGP)的临床特点和影响预后的因素。方法对92例老年AGP病人的临床资料进行回顾性分析。结果老年AGP以急性穿孔、恶性肿瘤和急性感染为主,下段消化道和恶性肿瘤引起的AGP并发症发生率和死亡率明显增高,并存疾病数量增多和发病至治疗时间延长也使并发症和死亡率增高。结论老年AGP临床表现不典型、病情重、进展快,需早就诊、早治疗;下段消化道疾病、恶性肿瘤、并存疾病数量多和发病至治疗的时间长是预后不良的因素。

Objective To discuss the characters of acute generalized peritonitis （AGP） of elderly patients and the relationship between those factors and prognosis. Methods The clinical data of 92 elderly patients with AGP were analyzed retrospectively. Results The principal reasons of AGP were acute perforation, malignant tumors and acute infections. AGP caused by inferior digestive tract and malignant tumor, AGP patients with more comorbidities and longer time from the onset to undergo treatment had higher morbidities and mortalities. Conclusions The clinical features of AGP are atypical, severe and advancing rapidly. Peritonitis coming from inferior digestive tract and malignant tumors, more comorbidities and longer time from the onset of symptoms to undergo treatment are predictors of bad prognosis.