老年急腹症患者急诊护理分析与就诊特点.docVIP

老年急腹症患者急诊护理分析与就诊特点 　　【摘要】目的：探讨老年急腹症患者就诊特点和急诊护理措施及效果方法：选取我院2010年1月～2012年6月104例老年急腹症患者为观察对象，分析临床就诊特点以及临床急救护理措施的应用效果，指导临床护理实践结果：104例老年急腹症患者经综合急救护理后，47例保守治疗，57例进行手术治疗。治愈及好转102例（98.07%），2例因癌性穿孔并发多脏器衰竭死亡（1.92%）结论：老年急腹症发病后有独特的临床疾病特点，急救护理时应根据这些特点进行救治护理，加以鉴别诊断。综合护理可以显着改善老年急腹症患者预后，提高治疗效果、减少并发症的发生，值得临床应用。 　　【关键词】急腹症；老年；就诊特点；急诊护理Emergency nursing of elderly patients with acute abdomen and hospital 　　Li QingpingWang YanFang YunweiHuang Li 　　（The peoples Hospital of Fuan County Jiangxi Province， JiangxiAnfu343200） 　　【Abstract】Objective： to discuss the clinic features of elderly patients with acute abdomen and emergency nursing measures and methods： select in our hospital from 2010 January ～2012 year in June 104 cases of elderly patients with acute abdomen as the object observation， analysis of clinical treatment and clinical characteristics of first-aid nursing measures application effect， guide clinical nursing practice： results of 104 cases of elderly patients with acute abdomen after comprehensive emergency care， 47 cases of conservative treatment， 57 cases were treated with operation. Cure and improved in 102 cases （ 98.07%）， 2 cases with gastric cancer perforation complicated with multiple organ failure and death （ 1.92%） conclusion： elderly acute abdomen after the onset of clinical disease have unique characteristics， emergency care should be based on the features of treatment and nursing， to differential diagnosis. Comprehensive nursing can significantly improve the prognosis of elderly patients with acute abdomen， improve curative effect， reduce the incidence of complications， worthy of clinical application. 　　【Keywords】Acute abdomen； elderly； Hospital； emergency nursing【中图分类号】R47【文献标识码】B【文章编号】1005-0515（2013）1-0045-03 　　急腹症是腹部急性疾患的总称，发病急、病情重、变化快，包括炎症、缺血、穿孔、破裂、扭转、肿瘤、梗阻等等诸多疾病种类，而牵涉的脏器可自食管到直肠，如肝、胆、胰、脾，以及肾、输尿管、膀胱和生殖系统的卵巢、子宫、输卵管、阴道等，男性的睾丸、附睾、前列腺也在其中。老年患者由于年龄及身体的特殊性，基础病多、临床症状复杂、表现不典型等原因，给病情观察、判断和进一步治疗增加了难度[1]。若延误时间就会给患者带来严重后果，我院根据老年患者发病特点采取综合性的急救护理措施，取得了积极的效果，下面就此的一些体会分