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目的分析老年急腹症的超声特点及误诊原因。方法超声检查49例老年急腹症患者,并对临床资料进行分析。结果本组中,急性胆系疾病12例,肝脓肿4例,肠梗阻2例,急性阑尾炎13例,尿路结石12例,胃穿孔1例,急性胰腺炎5例,误诊7例,超声诊断符合率85.7%。结论超声对老年急腹症有较高的诊断价值,但应结合病史、症状、体征、CT、MRI和实验室检查,以提高超声诊断的符合率。
Objective To analyze the characteristics of ultrasound and misdiagnosis of senile acute abdomen. Methods Ultrasound examination of 49 cases of elderly patients with acute abdomen, and clinical data analysis. Results In this group, 12 cases of acute biliary disease, 4 cases of liver abscess, 2 cases of intestinal obstruction, 13 cases of acute appendicitis, 12 cases of urinary tract stones, 1 case of gastric perforation, 5 cases of acute pancreatitis, misdiagnosis in 7 cases, In line with the rate of 85.7%. Conclusion Ultrasound has a high diagnostic value in elderly patients with acute abdomen, but should be combined with history, symptoms, signs, CT, MRI and laboratory tests to improve the diagnostic accuracy of ultrasound.