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目的:回顾分析老年(≥60岁)急腹症的临床资料,提高其诊治水平。方法:对比分析老年急腹症120例与中青年100例的症状、体征、伴随疾病、并发症、实验室、辅助检查等资料。结果:①老年组和中青年组在腹痛、腹部压痛、肠鸣音减弱或消失及小肠气液平面各项比较结果中,差异无统计学意义。老年组在出现肛门停止排气或排便、精神意识障碍、K+或Na+低于正常、白蛋白≤35g/L、腹腔积液者的比例均高于中青年组;中青年组在出现反跳痛或肌紧张、体温>37.5℃、WBC≥10×109/L者比例均高于老年组。②老年急腹症患者伴随其他疾病比例高于中青年组。③老年急腹症患者术后的并发症及死亡比例均高于中青年组。结论:老年急腹症患者应引起我们医护人员的高度重视,选择适时手术时机,并且积极治疗伴发的疾病,减少并发症,提高治愈率,降低病死率。
Objective: To retrospectively analyze the clinical data of elderly patients (≥60 years old) with acute abdomen and improve their diagnosis and treatment. Methods: A comparative analysis of 120 cases of elderly patients with acute abdomen and 100 cases of young and middle-aged patients with symptoms, signs, concomitant diseases, complications, laboratory, laboratory tests and other data. Results: ① There was no significant difference between the elderly group and middle-aged and young group in abdominal pain, abdominal tenderness, diminished or disappearance of bowel sounds, and comparison of gas-liquid levels in small intestine. In the elderly group, the rate of anus stopping to exhaust or defecate, mental disturbance, K + or Na + less than normal, albumin ≤35g / L, the proportion of patients with peritoneal effusion were higher than those in middle-aged group; Or muscle tension, body temperature> 37.5 ℃, WBC ≥ 10 × 109 / L were higher than the elderly group. ② elderly acute abdomen patients with other diseases with a higher proportion of young people. ③ The incidence of postoperative complications and death in elderly patients with acute abdomen were higher than those in middle-aged and young adults. Conclusion: Aged patients with acute abdomen should be our hospital staff attach great importance to choose the appropriate timing of surgery, and the active treatment of associated diseases, reduce complications and improve the cure rate and reduce mortality.