摘要
目的:总结非胆系老年急腹症的特点及EICU的治疗。方法:回顾性分析陕西省人民医院急诊外科重症监护室(EICU)在2018.1~2021.12收住的348例年龄 ≥ 65岁,非胆系急腹症患者的临床资料。结果:348例中,治愈320例,治愈率92.0%;死亡28例,死亡率8.0%;其中20例因严重脓毒性休克致MODS;突发心肌梗死3例,突发肺栓塞5例。结论:老年急腹症起病急,临床症状多不典型,误诊误治率较高,宜早期诊断,积极围术期处理,合理手术;EICU可提供系统性的监测及多脏器的功能支持,并对处理合并症、防治并发症、提升救治成功率以及降低死亡率方面具有至关重要的作用。
Objective: To summarize the characteristics of elderly acute abdomen in the non-biliary system and the treatment of EICU. Methods: A retrospective analysis was performed on the clinical data of 348 non-biliary acute abdomen patients admitted to the EICU at the age of ≥65 years old in the emer-gency surgery department of the People’s Hospital of Shaanxi Province during 2018.1~2021.12. Results: In 348 cases, 320 cases were cured, the cure rate was 92.0%;28 cases died, with a mortal-ity rate of 8.0%;20 cases were MODS due to severe septic shock. There were 3 cases of sudden my-ocardial infarction and 5 cases of sudden pulmonary embolism. Conclusion: Elderly patients with acute abdomen have acute onset, atypical clinical symptoms, high rate of misdiagnosis and mis-treatment, early diagnosis, active perioperative treatment and reasonable operation. EICU can pro-vide systematic monitoring and functional support of multiple organs, and plays an important role in dealing with complications, preventing complications, improving the success rate of treatment and reducing mortality.
出处
《临床医学进展》
2022年第6期5546-5551,共6页
Advances in Clinical Medicine
