Clinical features senile and diagnosis and treatment of acute abdomen.docVIP

 PAGE \* MERGEFORMAT 13 Clinical features senile and diagnosis and treatment of acute abdomen Of: Zhu Yuxiang Zhang Jia Xin Shao stable hi [Keywords:] diagnosis and treatment of acute abdomen in the elderly Acute abdominal disease is an important general surgery, once the delay in diagnosis, improper treatment, will seriously endanger the health of patients, and even death. Most of elderly patients with acute abdomen coexistence of other diseases, and atypical clinical manifestations, misdiagnosis rate of up to 50% more, more serious complications and high mortality. our hospital in January 2002 -2007 on January 60 and older were treated in 480 patients with acute abdomen, summary report below. 1 Materials and Methods 1.1 General Information January 2002 -2007 hospital on January 60 and older were treated in 480 patients with acute abdomen patients, 278 patients were male, female 202 cases. Aged 60 to 87 years, mean age 73.5 years. Acute appendicitis 155 cases, acute cholecystitis, cholelithiasis, cholangitis in 107 cases, 88 cases of intestinal obstruction (including 42 cases of adhesive intestinal obstruction, intestinal tumors in 18 cases, 6 cases of sigmoid colon torsion, bezoar obstruction in 9 cases, 13 cases of obstruction of unknown cause), gastric ulcer, gastric perforation in 52 cases, 46 cases of acute pancreatitis, 18 cases of incarcerated inguinal hernia, 6 cases of acute mesenteric vascular occlusion, hemorrhage in 4 cases of ruptured liver, spleen, splenic infarction in 2 cases, Michael 2 cases of perforated diverticulitis .70.8% (340/480 patients with coexisting other diseases were hypertension in 121 cases (25.2%), coronary heart disease 69 cases (14.3%), chronic bronchitis, 76 cases (15.8%), renal function insufficiency in 20 cases (4.1%), diabetes in 38 cases (7.9%), chronic urinary tract infections, prostate enlargement in 16 cases (3.3%). onset to treatment time of 3 h ~ 4 d, an average of 1.7 d.93.1% (447/480 patients with