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目的 探讨老年人急腹症的诊治策略 ,提高治疗水平。方法 回顾性总结分析 86例老年人急腹症的诊断方法和治疗结果。结果 诊断性腹穿、CT、B超、X线的阳性率分别为 89.9%、42 .3 %、86.4%、60 .2 % ,74例手术 ,术后 11例死亡 ,12例保守治疗。死亡原因主要是术后并发症的发生及合并症的加重。并发症、合并症越多 ,病人住院时间延长 ,死亡率明显升高。结论 仔细询问病史 ,体格检查 ,诊断性腹穿、CT、B超、腹部平片是急腹症有效诊断措施 ,积极预防并发症的发生 ,可降低死亡率。
Objective To explore the diagnosis and treatment of acute abdomen in elderly and to improve the treatment level. Methods The diagnosis and treatment of acute abdomen in 86 elderly patients were retrospectively analyzed. Results The positive rates of diagnostic abdominal CT, B ultrasound and X-ray were 89.9%, 42.3%, 86.4% and 60.2% respectively. There were 74 cases of surgery and 11 cases of postoperative death and 12 cases of conservative treatment. The main cause of death is the occurrence of postoperative complications and complications. Complications, the more complications, prolonged hospitalization, the mortality was significantly higher. Conclusions Careful inquiry history, physical examination, diagnostic abdominal perforation, CT, B ultrasound, abdominal plain film is an effective diagnostic measure of acute abdomen, and actively prevent the occurrence of complications, can reduce mortality.