Richter Bernd, Sieber Cornel
Institut für Biomedizin des Alterns der FAU Erlangen-Nürnberg.
Ther Umsch. 2011 Aug;68(8):449-55. doi: 10.1024/0040-5930/a000192.
Abdominal pain is a frequent symptom among elderly hospitalized patients. Taking the patient's history is often difficult because of a cognitive impairment. The objective of the present article is to provide a short summery of important diseases leading to abdominal pain and their special features in the elderly patient population. Especially atypical and less symptomatic courses render establishing the correct diagnosis more difficult. The higher comorbidity, the often more advanced disease stage at the time of seeking medical attention and an delayed accurate diagnosis all contribute to the higher mortality in the elderly patients.
腹痛是老年住院患者的常见症状。由于认知障碍，获取患者病史往往很困难。本文的目的是简要总结导致腹痛的重要疾病及其在老年患者群体中的特殊特征。特别是非典型和症状较轻的病程使正确诊断更加困难。较高的合并症、就医时往往更 advanced 的疾病阶段以及诊断延迟都导致老年患者死亡率较高。 （注：原文中“more advanced”直译为“更先进的”，结合语境这里可能是想说“更严重的”等意思，可根据实际情况调整表述，但按要求需保留原文翻译）
