54例老年急腹症患者临床诊疗探究.docVIP

54例老年急腹症患者临床诊疗探究[摘要] 目的：研究老年急腹症的临床特征及诊疗要点。方法：收集本院收治的54例老年急腹症患者的临床资料，对其临床表现，伴随症状及诊治情况进行分析。结果：所有老年患者中9例给予保守治疗，余45例患者行手术治疗，其中急诊手术32例，占总手术例数的59.3%，51例治愈，3例死亡，误诊12例，误诊率为22.2%。结论：掌握了老年急腹症的临床特征，可使老年急腹症的诊断水平得到提高，从而有效地减轻了老年患者的痛苦，使其生活质量得到提高。 [关键词] 老年急腹症；临床特点；诊治；研究 [中图分类号] R57 [文献标识码]A[文章编号]1674-4721（2011）07（c）-030-02 The examination of clinical diagnosis and treatment of 54 cases elderly patients with acute abdomen WANG Hongbo1, GUO Wenli2, LI Kehan3 1.Department of General Surgery, Luoyang Jianxi Electric Power Hospital, Henan Province, Luoyang 471003, China; 2.Department ofDermatology, Luoyang Bearing Group Corporation Hospital, Henan Province, Luoyang 471003, China; 3.Department of Anesthesiology, First Affiliated Hospital of Henan University of Technology, Henan Province, Luoyang 471003, China [Abstract] Objective: To research the clinical features and treatment points of elderly patients with acute abdomen. Methods: Collectted the clinical data of 54 cases of elderly patients with acute abdomen, and analyzed the clinical performance, associated symptoms, diagnosis and treatment. Results: All nine of elderly patients treated with conservative treatment, more than 45 patients underwent surgical treatment, including emergency surgery in 32 cases, accounting for 59.3% of the number of surgical cases, 51 patients were cured, 3 patients were died, misdiagnosed 12 patients, the rate of misdiagnosis was 22.2%. Conclusion: The master of the clinical features of acute abdomen, the diagnosis of acute abdomen can be improved, thus effectively reducing the suffering of elderly patients to improve the quality of life. [Key words] Elderly acute abdomen; Clinical features; Diagnosis and treatment; Examination 由于我国社会年龄机构的老龄化不断加剧，老年急腹症发病率也在逐年升高，最多时在同期急腹症患者总数中占29.8%。但老年急腹症患者病情复杂多变，全身各系统功能较年轻人差距较大，且症状通常表现不典型，而且老年患者还经常伴随各种慢性疾病，误诊误治及死亡率较高，具有一定的特殊性，因此对其应引起足够的重视[1]。现选择本院2005年5月～2010年5月收治的54例老年急腹症患者的临床资料进行研究，分析老年急腹症患者的临床特征、伴随症状及对临床诊治情况进行总结，以期对临床医师工作上有所帮助。 1 资料与方法