Goidescu O C, Patrascu T
Surgery Department, Municipal Hospital, Ramnicu Sarat, Romania.
"I. Juvara" Clinical Hospital, "Dr. I. Cantacuzino" Hospital, Bucharest, Romania.
J Med Life. 2015 Jan-Mar;8(1):13-5.
Mechanisms of acute abdomen in the elderly patient are not different from the ones of young adults. What differs is the large number of associated diseases and specific geriatric pathology, ischemic disorders, diverticular disease. The diagnosis of acute abdomen in the elderly patient is difficult due to unclear symptoms, laboratory samples less modified and low cooperation. The article analyzed two groups of patients over 65 years, hospitalized in surgery in the last three years, with the diagnosis of acute surgical abdomen, from the point of view of the appearance of complications depending on the days of delay until surgery.
老年患者急腹症的发病机制与年轻人并无不同。不同的是大量的合并症以及特定的老年病理学情况、缺血性疾病、憩室病。由于症状不明确、实验室检查结果变化不大以及配合度低,老年患者急腹症的诊断较为困难。本文从手术延迟天数与并发症发生情况的角度,分析了过去三年在外科住院的两组65岁以上诊断为急性外科性急腹症的患者。