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目的根据126例老年人急腹症临床分析结果以探讨老年急腹症的特点及外科治疗。方法收集从2003年1月至2005年12月收治的126例老年人急腹症进行了回顾性分析。结果本组死亡4例,出现并发症26例,包括肺感染、切口裂开、胰腺炎、深静脉血栓、多系统器官衰竭。24 h 内就诊者45例(35.7%),死亡率0%;25～72 h 内就诊者48例(38.1%),死亡率2.1%;4 d 以上就诊者33例(26.2%),死亡率9.1%。急性阑尾炎收治48例,最多,但死亡率O%;急性机械性肠梗阻、急性弥漫性腹膜炎、急性胰腺炎等3种疾病收治率中等,但死亡率较高。结论就诊时间越长死亡率越高。急性阑尾炎的发生率最高;但急性机械性肠梗阻、急性弥漫性腹膜炎、急性胰腺炎的死亡率较高。
Objective According to the clinical analysis of 126 elderly patients with acute abdomen to discuss the characteristics of elderly acute abdomen and surgical treatment. Methods A retrospective analysis of 126 elderly patients with acute abdomen admitted from January 2003 to December 2005 was performed. Results The group died of 4 cases, complications occurred in 26 cases, including lung infection, incision rupture, pancreatitis, deep venous thrombosis, multiple system organ failure. 45 cases (35.7%) were diagnosed within 24 h, the mortality rate was 0%; 48 cases (38.1%) were treated within 25 ~ 72 h, the mortality rate was 2.1%; 33 cases (26.2% 9.1%. Acute appendicitis admitted to 48 cases, the most, but the mortality rate of O%; acute mechanical obstruction, acute diffuse peritonitis, acute pancreatitis and other three kinds of disease were medium, but higher mortality. Conclusion The longer the visit, the higher the mortality rate. The incidence of acute appendicitis the highest; but acute mechanical intestinal obstruction, acute diffuse peritonitis, acute pancreatitis mortality is higher.