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老年患者的腹部急症

Abdominal emergencies in the geriatric patient.

作者信息

Spangler Ryan, Van Pham Thuy, Khoujah Danya, Martinez Joseph P

机构信息

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore 21201, MD, USA.

出版信息

Int J Emerg Med. 2014 Oct 21;7:43. doi: 10.1186/s12245-014-0043-2. eCollection 2014.

DOI:10.1186/s12245-014-0043-2
PMID:25635203
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4306086/
Abstract

Abdominal pain is one of the most frequent reasons that elderly people visit the emergency department (ED). In this article, we review the deadliest causes of abdominal pain in this population, including mesenteric ischemia, abdominal aortic aneurysm, and appendicitis and potentially lethal non-abdominal causes. We also highlight the pitfalls in diagnosing, or rather misdiagnosing, these clinical entities.

摘要

腹痛是老年人前往急诊科就诊的最常见原因之一。在本文中，我们回顾了该人群中腹痛的最致命病因，包括肠系膜缺血、腹主动脉瘤和阑尾炎，以及潜在致命的非腹部病因。我们还强调了诊断这些临床病症时，或者更确切地说是误诊这些病症时的陷阱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce96/4306086/8f1962f6a841/s12245-014-0043-2-8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce96/4306086/096f068f3429/s12245-014-0043-2-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce96/4306086/6ba908354510/s12245-014-0043-2-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce96/4306086/8f1962f6a841/s12245-014-0043-2-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce96/4306086/74a24380ba68/s12245-014-0043-2-1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce96/4306086/096f068f3429/s12245-014-0043-2-6.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce96/4306086/8f1962f6a841/s12245-014-0043-2-8.jpg

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本文引用的文献

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Acute appendicitis in the elderly: risk factors for perforation.老年人急性阑尾炎：穿孔的危险因素。
World J Emerg Surg. 2014 Jan 15;9(1):6. doi: 10.1186/1749-7922-9-6.
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Acute mesenteric ischemia.急性肠系膜缺血。
Surg Clin North Am. 2014 Feb;94(1):165-81. doi: 10.1016/j.suc.2013.10.012.
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Systematic review: emergency department bedside ultrasonography for diagnosing suspected abdominal aortic aneurysm.系统评价：急诊床旁超声检查诊断疑似腹主动脉瘤。
Open Access Emerg Med. 2024 Sep 16;16:231-243. doi: 10.2147/OAEM.S457942. eCollection 2024.
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Ethnobotanical study of traditional medicinal plants used by the local people in Habru District, North Wollo Zone, Ethiopia.埃塞俄比亚北沃洛地区哈布鲁地区当地人使用的传统药用植物的民族植物学研究。
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Ketofol versus Dexmedetomidine for preventing postoperative delirium in elderly patients undergoing intestinal obstruction surgeries: a randomized controlled study.异丙酚复合右美托咪定与右美托咪定用于预防老年肠梗阻手术患者术后谵妄的随机对照研究。
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The Clinical Frailty Scale (CFS) as an Independent Prognostic Factor for Patients ≥80 Years with Small Bowel Obstruction (SBO).临床虚弱量表（CFS）作为 ≥80 岁伴有小肠梗阻（SBO）患者的独立预后因素。
J Gastrointest Surg. 2023 Oct;27(10):2177-2186. doi: 10.1007/s11605-023-05820-8. Epub 2023 Sep 6.
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"Forbidden Fish": Did King Henry I Die of Lamprey Poisoning?“禁鱼”：亨利一世国王是死于七鳃鳗中毒吗？
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Examination of geriatric care processes implemented in level 1 and level 2 geriatric emergency departments.对一级和二级老年急诊科实施的老年护理流程的检查。
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