中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
32期
20-21
,共2页
老年急腹症%早期诊断%治疗
老年急腹癥%早期診斷%治療
노년급복증%조기진단%치료
Senile acute abdomen%Early diagnosis%Treatment
目的：总结分析老年急腹症的早期诊断及治疗的经验。方法回顾性分析150例老年外科急腹症患者的临床资料。结果行手术治疗95例,其中9例术后切口感染,经切口开放换药后治愈；1例因胃穿孔伴腹膜炎行穿孔修补、腹腔冲洗引流术,术后因感染性休克死亡；1例因胆囊炎,胆总管结石,急性梗阻性化脓性胆管炎行胆囊切除、胆总管切开取石,T管引流术,术后因感染性休克死亡。55例给予非手术治疗,其中1例因急性胰腺炎并发急性呼吸窘迫综合征(ARDS)死亡,3例因感染性休克死亡,其余51例经积极保守治疗后均治愈。结论仔细询问病史,全面细致的查体,结合必要的辅助检查是老年急腹症早期诊断及治疗的基础,早期采取快速和创伤最小的手术治疗配合多学科协作治疗是老年急腹症的重要治疗方法,并可以取得满意的临床效果。
目的：總結分析老年急腹癥的早期診斷及治療的經驗。方法迴顧性分析150例老年外科急腹癥患者的臨床資料。結果行手術治療95例,其中9例術後切口感染,經切口開放換藥後治愈；1例因胃穿孔伴腹膜炎行穿孔脩補、腹腔遲洗引流術,術後因感染性休剋死亡；1例因膽囊炎,膽總管結石,急性梗阻性化膿性膽管炎行膽囊切除、膽總管切開取石,T管引流術,術後因感染性休剋死亡。55例給予非手術治療,其中1例因急性胰腺炎併髮急性呼吸窘迫綜閤徵(ARDS)死亡,3例因感染性休剋死亡,其餘51例經積極保守治療後均治愈。結論仔細詢問病史,全麵細緻的查體,結閤必要的輔助檢查是老年急腹癥早期診斷及治療的基礎,早期採取快速和創傷最小的手術治療配閤多學科協作治療是老年急腹癥的重要治療方法,併可以取得滿意的臨床效果。
목적：총결분석노년급복증적조기진단급치료적경험。방법회고성분석150례노년외과급복증환자적림상자료。결과행수술치료95례,기중9례술후절구감염,경절구개방환약후치유；1례인위천공반복막염행천공수보、복강충세인류술,술후인감염성휴극사망；1례인담낭염,담총관결석,급성경조성화농성담관염행담낭절제、담총관절개취석,T관인류술,술후인감염성휴극사망。55례급여비수술치료,기중1례인급성이선염병발급성호흡군박종합정(ARDS)사망,3례인감염성휴극사망,기여51례경적겁보수치료후균치유。결론자세순문병사,전면세치적사체,결합필요적보조검사시노년급복증조기진단급치료적기출,조기채취쾌속화창상최소적수술치료배합다학과협작치료시노년급복증적중요치료방법,병가이취득만의적림상효과。
Objective To summarize and analyze the experience of early diagnosis and treatment of senile acute abdomen. Methods The clinical data of 150 cases of senile acute abdomen were retrospectively analyzed. Results Among 95 cases undergone surgery, there were 9 cases with postoperative wound infection healed after open incision dressing, 1 death case due to perforation repair and abdominal lavage and drainage in treating gastric perforation with peritonitis, 1 death case due to septic shock after cholecystectomy, choledocholithotomy and T-tube drainage in treating cholecystitis, choledocholithiasis and acute obstructive suppurative cholangitis. Among 55 cases received non-surgical treatment, there were 1 death case due to acute pancreatitis with ARDS, 3 death cases due to septic shock, and the other 51 cases were cured after positively conventional treatment. Conclusion Careful inquiry, detailed examination and necessarily auxiliary examination are the basis of the early diagnosis and treatment of senile acute abdomen. Early application of rapid and minimally invasive surgical treatment combined with multidisciplinary therapy is the important treatment for senile acute abdomen, and it can provide satisfactory clinical effects.
