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目的总结老年人外科急腹症的诊断与治疗。方法对1996年6月至2006年10月间经治的315例老年人外科急腹症的临床资料进行回顾性分析。结果315例中急性阑尾炎92例,均急诊手术,全部治愈。急性肠梗阻87例,保守治疗31例,手术治疗56例,术后死亡5例。胃十二指肠溃疡穿孔81例,均手术治疗,术后死亡3例。急性胆囊炎43例,均手术治疗,术后死亡3例。急性胰腺炎11例,保守治疗9例,手术治疗2例,术后死亡1例。急性肠系膜动脉栓塞1例,未及手术探查已死亡。结论老年人急腹症有手术指征者只要无绝对禁忌,均应及早手术。
Objective To summarize the diagnosis and treatment of acute abdomen in the elderly. Methods A retrospective analysis was performed on the clinical data of 315 elderly patients with acute acute abdomen treated between June 1996 and October 2006. Results Of 315 cases of acute appendicitis in 92 cases, emergency surgery, all cured. 87 cases of acute intestinal obstruction, conservative treatment in 31 cases, 56 cases of surgical treatment, 5 cases of postoperative death. Gastroduodenal ulcer perforation in 81 cases, both surgical treatment, 3 patients died. Acute cholecystitis in 43 cases, both surgery, 3 patients died. 11 cases of acute pancreatitis, conservative treatment in 9 cases, surgical treatment in 2 cases, 1 case of postoperative death. A case of acute mesenteric artery embolism, has not been surgical exploration has died. Conclusion There are indications for surgery in elderly patients with acute abdomen as long as there is no absolute contraindication, should be early surgery.