中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
29期
26-27,28
,共3页
老年%急腹症%诊疗分析
老年%急腹癥%診療分析
노년%급복증%진료분석
Elderly%Acute abdomen%Diagnosis analysis
目的：探讨老年急腹症临床特点，观察评价处理效果，总结诊疗经验。方法：对笔者所在医院2009年1月-2014年1月收治的550例老年急腹症患者临床资料进行回顾性分析，分析影响诊断情况的因素，并对治疗路径与结局的影响进行探讨。结果：年龄<70岁、病程<12 h、合并症数≤2、病前有意识障碍患者，临床表现典型率、诊断符合率、诊断效用高效率，高于同类因素其他级别者，差异有统计学意义(P<0.05)；临床表现典型、诊断符合、诊断效用高效组死亡率与内科转外科率低于同因素其他级别者，差异有统计学意义(P<0.05)。结论：老年急腹症诊断效用受多种因素影响，包括患者自身病情与合并症情况、病程等，诊断效用直接影响治疗路径与患者结局，医院应积极积累经验，提高拟诊符合率，以缩短观察时间，及早开展手术、降低内科中转手术几率。
目的：探討老年急腹癥臨床特點，觀察評價處理效果，總結診療經驗。方法：對筆者所在醫院2009年1月-2014年1月收治的550例老年急腹癥患者臨床資料進行迴顧性分析，分析影響診斷情況的因素，併對治療路徑與結跼的影響進行探討。結果：年齡<70歲、病程<12 h、閤併癥數≤2、病前有意識障礙患者，臨床錶現典型率、診斷符閤率、診斷效用高效率，高于同類因素其他級彆者，差異有統計學意義(P<0.05)；臨床錶現典型、診斷符閤、診斷效用高效組死亡率與內科轉外科率低于同因素其他級彆者，差異有統計學意義(P<0.05)。結論：老年急腹癥診斷效用受多種因素影響，包括患者自身病情與閤併癥情況、病程等，診斷效用直接影響治療路徑與患者結跼，醫院應積極積纍經驗，提高擬診符閤率，以縮短觀察時間，及早開展手術、降低內科中轉手術幾率。
목적：탐토노년급복증림상특점，관찰평개처리효과，총결진료경험。방법：대필자소재의원2009년1월-2014년1월수치적550례노년급복증환자림상자료진행회고성분석，분석영향진단정황적인소，병대치료로경여결국적영향진행탐토。결과：년령<70세、병정<12 h、합병증수≤2、병전유의식장애환자，림상표현전형솔、진단부합솔、진단효용고효솔，고우동류인소기타급별자，차이유통계학의의(P<0.05)；림상표현전형、진단부합、진단효용고효조사망솔여내과전외과솔저우동인소기타급별자，차이유통계학의의(P<0.05)。결론：노년급복증진단효용수다충인소영향，포괄환자자신병정여합병증정황、병정등，진단효용직접영향치료로경여환자결국，의원응적겁적루경험，제고의진부합솔，이축단관찰시간，급조개전수술、강저내과중전수술궤솔。
Objective:To investigate the clinical characteristics of elderly acute abdomen,observe the treatment effect,and summarize diagnosis experience.Method:Five hundred and fifty elderly patients with acute abdomen were selected in our hospital from January 2009 to January 2014,the clinical data of them was retrospectively reviewed,and the factors of diagnosis and theirs influences on path and outcome were analyzed.Result:Patients with age under 70 years,disease course<12 h,number of complication≤2 and conscious disorders before the disease,the clinical manifestation,diagnosis,diagnostic accuracy rate the utility efficiency,were higher than other patients,the difference was statistically significant (P<0.05),patients with typical clinical manifestations, correct and efficiency diagnosis the mortality and the rate of operations transferred from of internal medicine department were lower than other patients,the differences were statistical significance (P<0.05). Conclusion:The diagnosis of elderly acute abdomen utility is affected by many factors,including the patient's condition and the complications,course of disease,diagnostic utility directly affect the treatment outcome and path;hospital should accumulate experience, improve the suspected coincidence rate,so as to reduce the observation time,carry out operation immediately,reduce the rate of operations transferred from of internal medicine department.
