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目的:对老年急腹症的诊断与治疗进行研究。方法:对患者的病史进行详细询问,然后进行全面体检,结合B超、CT、血管造影、内镜检查和诊断性腹腔穿刺等方法进行诊断,诊断后对34例老年急腹症患者进行手术治疗。结果:术后出现心肺功能不全4例、急性肾衰1例、多脏器功能衰竭2例、手术切口裂开2例、治愈25例、死亡1例。结论:老年急腹症并发症多,诊治难度大,死亡率高,应根据患者自身情况制定相应的诊疗方法,促进老年急腹症患者的早日康复。
Objective: To study the diagnosis and treatment of acute abdomen in the elderly. Methods: The patient’s medical history was inquired in detail. After that, comprehensive physical examination, combined with B-ultrasound, CT, angiography, endoscopy and diagnostic paracentesis were performed to diagnose 34 cases of elderly patients with acute abdomen after surgery . Results: There were 4 cases of cardiopulmonary dysfunction, 1 case of acute renal failure, 2 cases of multiple organ failure, 2 cases of surgical incision and 25 cases of cure and 1 case of death. Conclusion: There are many complications of acute abdomen in elderly patients, and the diagnosis and treatment is difficult and the mortality rate is high. Corresponding diagnosis and treatment methods should be formulated according to the patients’ own conditions so as to promote the early recovery of elderly patients with acute abdomen.