550例老年急腹症患者诊疗分析.docVIP

550例老年急腹症患者诊疗分析 　　【摘要】 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（P0.05）；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（P0.05）。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。 　　【关键词】 老年； 急腹症； 诊疗分析 　　中图分类号 R656.1 文献标识码 B 文章编号 1674-6805（2014）29-0026-03 　　Diagnosis Analysis of 550 Elderly Patients with Acute Abdomen/LIANG Xiao-yue，WU Mu-fu，ZHUANG Jun-can.//Chinese and Foreign Medical Research，2014，12（29）：26-28 　　【Abstract】 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 course12 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 （P0.05），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 （P0.05）. Conclusion：The diagnosis of elderly acute abdomen utility is affected by many factors， including the patients 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 oper