[老年患者的消化系统急症]

[Digestive emergencies of elderly patients].

作者信息

Closset J

机构信息

Service médico-chirurgical de Gastro-Entérologie, Hôpital Erasme, U.L.B.

出版信息

Rev Med Brux. 1999 Dec;20(6):491-3.

PMID:10672772

Abstract

Evaluation of an elderly patient with acute abdominal conditions presents a challenge to the physician on account of the general poverty of history and clinical signs and the poor reliability of diagnostic procedures. The management of these pathologies are analyzed: cholecystitis, appendicitis, incarcerated hernia, small bowel obstruction, côlonic diverticular disease, intestinal ischemia and gastroduodenal ulcer. An early elective treatment of chronic pathologies like gallstones, hernias and intestinal ischemia trends to avoid complications.

摘要

对患有急腹症的老年患者进行评估，对医生来说是一项挑战，因为病史和临床体征通常缺乏，诊断程序的可靠性也较差。本文分析了这些病症的处理方法：胆囊炎、阑尾炎、嵌顿疝、小肠梗阻、结肠憩室病、肠缺血和胃十二指肠溃疡。对胆结石、疝气和肠缺血等慢性病症进行早期选择性治疗，往往可以避免并发症。