Primary hospital diagnosis and treatment of the elderly experience acute abdomen.doc

 PAGE \* MERGEFORMAT 15 Primary hospital diagnosis and treatment of the elderly experience acute abdomen [Abstract] Objective To understand and grasp the characteristics of the elderly diagnosis and treatment of acute abdomen and laws to improve the cure rate of elderly acute abdomen and lower mortality. Act in the past 10 years, 156 patients admitted to surgery over 60 years old with acute abdomen conducted a retrospective review and analysis. Results of 156 cases older patients with acute abdomen underwent surgery in 135 cases (86.5%, non-surgical treatment of 21 cases (13.5%. cured 143 patients (91.7%, improved in 5 patients (3.2%, death 8 cases (5.1%, the cause of death: 4 cases of toxic shock, multiple organ failure in 3 cases, cerebral vascular accident in 1. closer with the reported cure rate, mortality rate slightly lower than reported in the literature. Conclusion The in-depth summary and analysis, increase in the pathophysiology of acute abdomen in the elderly and so further understanding of the elderly are not the typical clinical presentation of acute abdomen should be carefully observed, a comprehensive analysis, careful examination, in close collaboration between families, correctly grasp the principles of treatment, timely laparotomy is to enhance the effect of the elderly an important means of diagnosis and treatment of acute abdomen. [Keywords:] elderly acute abdomen The author of nearly 10 years (January 1999 to 2009 of 12 156 patients were admitted in mid-surgical acute abdomen in the elderly were retrospectively reviewed and analyzed the clinical data are reported as follows .1 1.1 112 cases of sex and age, male and female 44 cases, aged 60 to 89 years, mean 70.4 years old. 1.2 Classification of Diseases, 73 cases of acute appendicitis (46.7%), acute mechanical intestinal obstruction in 44 cases (28.2%), (of which 21 cases of adhesive intestinal obstruction), incarcerated hernia (15 cases, 6 cases of strangulated hernia), in