Acute abdomen in the diagnosis and treatment of elderly in need of attention.docVIP

 PAGE \* MERGEFORMAT 11 Acute abdomen in the diagnosis and treatment of elderly in need of attention Acute abdomen is a common emergency surgical acute abdomen is a symptom, the performance was mainly abdominal pain, and may be associated with other symptoms. Such as fever, diarrhea, vomiting, constipation, etc. These symptoms are often the basis for diagnosis or identification. Abdomen account for the first four diseases were acute appendicitis, acute biliary tract, acute intestinal obstruction and abdominal trauma. In particular, the incidence of acute abdomen in the elderly is becoming gradually increasing trend. elderly population characteristics of the disease, leading to acute abdomen in old age has its specificity, both part of geriatrics, but also the acute abdomen, only to grasp the characteristics of elderly acute abdomen, to take correct and effective diagnosis and treatment in order to reduce misdiagnosis and improve the success rate of treatment of acute abdomen in old age. 1, the characteristics of elderly acute abdomen Common bile duct disease as old acute abdomen, acute appendicitis, intestinal obstruction, ulcer acute perforation and acute pancreatitis. Elderly acute abdomen caused by a malignant tumor was significantly higher than young adults. Some unusual acute abdomen in young adults, and in old were significantly increased, such as obturator hernia, acute abdomen, such as vascular abdominal aortic aneurysm, mesenteric vascular obstruction. Some old two surgical acute abdomen coexisting diseases such as colon cancer such as the coexistence of acute appendicitis. 1.1 The typical clinical manifestation Decrease the excitability of nerve cells in the elderly, sensory dysfunction, resulting in poor sensitivity on abdominal pain in elderly patients, in elderly patients with diabetes more obvious sensory dysfunction. Therefore, the performance of elderly patients with acute abdomen and young adults are significantly differ