目的:探讨老年急腹症合并感染性休克患者的临床有效治疗方法。方法:收集老年急腹症合并感染性休克患者的临床资料56例,其中男38例,女18例,平均年龄(65±7.6)岁,整理分析其治疗方法及临床效果。结果:56例患者,经手术治疗32例,治愈23例(71.88%);术后死亡9例,5例死于多器官功能障碍,2例死于低血容量休克,1例死于败血症,1例死于糖尿病肾衰竭;非手术治疗24例,治愈12例(50.00%),死亡12例,7例死于多器官功能障碍,2例死于败血症,2例死于低血容量休克,1例死于心功能衰竭。主要死亡原因为多脏器功能障碍综合征,共12例占死亡例数的57.14%。结论:合并感染性休克的老年急腹症患者发病率高,而且多合并其他慢性疾病,病情复杂,早期不易诊断,治疗较困难,但只要掌握扎实的理论临床知识,就能够找出病因作出正确诊断,然后在抗休克同时积极抗感染,选择合适的时机采取手术治疗能够提高治愈率。 Objective: To investigate the clinical effective treatment of senile acute abdomen with septic shock. Methods: Fifty-six cases of senile acute abdomen with septic shock were collected, including 38 males and 18 females, with an average age of (65 ± 7.6) years. The treatment methods and clinical effects were analyzed. Results: In 56 cases, 32 cases were cured by surgery, 23 cases were cured (71.88%); 9 cases died after operation, 5 cases died of multiple organ dysfunction, 2 died of hypovolemic shock, 1 died of sepsis, 1 died of diabetic renal failure; 24 cases were treated non-operatively, 12 cases (50.00%) were cured, 12 died, 7 died of multiple organ dysfunction, 2 died of sepsis, 2 died of hypovolemic shock, One patient died of heart failure. The main cause of death was multiple organ dysfunction syndrome, a total of 12 cases accounted for 57.14% of deaths. Conclusions: The incidence of senile acute abdomen patients with septic shock is high, and more complicated with other chronic diseases, the condition is complicated, it is not easy to diagnose in the early stage and the treatment is difficult. However, as long as the theoretical knowledge of the clinic is solid, the etiology can be correctly found Diagnosis, anti-shock and then active anti-infection, choose the right time to take surgical treatment can improve the cure rate.