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目的探讨合并感染性休克的老年急腹症患者的有效治疗措施。方法收集2008年至2011年钦州市钦南区人民医院住院治疗的老年急腹症合并感染性休克患者86例,男52例,女34例,平均年龄(64±7.8)岁,回顾性分析其治疗方案及治疗效果。结果 86例患者,经手术治疗60例,术后死亡5例,2例死于多器官功能障碍,1例死于肺栓塞,1例死于糖尿病肾衰竭,1例死于败血症。非手术治疗26例,治愈18例,死亡8例,3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。结论合并感染性休克的老年急腹症患者,无并发心脑肾功能严重衰竭时,应在抗休克同时积极抗感染,手术治疗。临床医生应掌握扎实的理论临床知识,认真总结疾病经验,提高术前急腹症病因的诊断水平,有的放矢的采取适当的治疗措施,有利于减少医疗纠纷,提高疾病治愈率,同时为患者减轻不必要的经济负担。
Objective To investigate the effective treatment of elderly acute abdomen patients with septic shock. Methods 86 cases of senile acute abdomen with septic shock were collected from Qinan District People’s Hospital of Qinzhou from 2008 to 2011. There were 52 males and 34 females, with a mean age of (64 ± 7.8) years. Retrospective analysis was made Treatment plan and treatment effect. Results Of the 86 patients, 60 were surgically treated, 5 were killed, 2 died of multiple organ dysfunction, 1 died of pulmonary embolism, 1 died of diabetic renal failure and 1 died of sepsis. Non-surgical treatment of 26 cases, 18 cases were cured, 8 died, 3 died of multiple organ dysfunction, 2 died of sepsis, 2 died of hypovolemic shock and 1 died of heart failure. Conclusions Patients with acute abdomen with septic shock should have active anti-infection and surgical treatment at the same time when there is no serious failure of cardiocerebral function. Clinicians should have a solid theoretical knowledge of the theory, conscientiously sum up the experience of the disease, improve the diagnosis of the cause of preoperative acute abdomen, targeted to take appropriate treatment measures will help reduce medical disputes and improve the cure rate of the disease, while reducing the patient does not The necessary financial burden.