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[老年患者的急腹症]

[Acute abdomen in elderly patients].

作者信息

Machado M A, Pereira E A, Lourenção J L, Branco P D

机构信息

Discplina e Cirurgia do Trauma, Faculdade de Medicina, Universidade de São Paulo.

出版信息

Rev Hosp Clin Fac Med Sao Paulo. 1990 Jan-Feb;45(1):15-21.

PMID:2133165
Abstract

Seventy nine elderly patients with acute abdominal conditions were operated on in the Emergency Service of the Hospital das Clinicas of the University of São Paulo from 1981 to 1985. Total mortality rate was 58.23%. In patients with acute vascular abdominal conditions it was 100%, in inflammatory conditions 55.17% and in intestinal obstruction 47.83%. The lowest mortality was observed in traumatic conditions (27.27%). Procrastination of operations was followed by higher mortality. In operations lasting more than three hours the mortality was significantly higher than in those lasting less than three hours. Associated diseases as well as reoperations increased the postoperative mortality.

摘要

1981年至1985年期间,圣保罗大学临床医院急诊科对79例患有急腹症的老年患者进行了手术。总死亡率为58.23%。急性腹部血管疾病患者的死亡率为100%,炎症性疾病患者为55.17%,肠梗阻患者为47.83%。创伤性疾病患者的死亡率最低(27.27%)。手术拖延会导致更高的死亡率。手术持续时间超过三小时的患者死亡率显著高于持续时间少于三小时的患者。合并疾病以及再次手术会增加术后死亡率。

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