目的 总结70岁以上老年人急腹症早期诊断和治疗体会.方法 回顾性分析和总结芜湖市第五人民医院院普外科2000年1月~2011年7月收治82例70岁以上老年人急腹症临床资料.结果 70岁以上老年人急腹症,病情危重、合并症多、变化快,早期诊断困难;痊愈79例(96.3%),死亡3例(3.7%).结论 70岁以上老年人急腹症不是手术绝对禁忌证.早期诊断、早期手术、重视围手术期处理和积极预防并发症,是70岁以上老年人急腹症治疗的关键.%Objective To summarize the experience in early diagnosis and treatment of acute abdomen in elderly patients aged 70 years and over. Methods The clinical data of 82 cases of acute abdomen in elderly patients between January 2000 and July 2011 in surgery department of Wuhu Fifth People' s Hospital were analyzed retrospectively. Results The acute abdomen in elderly patients was serious, with much complications and faster change,so early diagnosis was difficult. 79 cases( 96. 3% ) were cured, and 3 cases( 3. 7% )died. Conclusion Acute abdomen is not contraindication for operation in elderly patients. Early diagnosis and operation, good perioperative management and prevention of postoperative complications are the key for acute abdomen in elderly patients.
展开▼
