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老年患者的腹痛

Abdominal Pain in the Geriatric Patient.

作者信息

Magidson Phillip D, Martinez Joseph P

机构信息

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

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

出版信息

Emerg Med Clin North Am. 2016 Aug;34(3):559-74. doi: 10.1016/j.emc.2016.04.008.

Abstract

With an aging population, emergency department clinicians can expect an increase in geriatric patients presenting with abdominal pain. Compared with younger patients, this patient population is less likely to present with classic symptoms, physical examination findings, and laboratory values of abdominal disease. However, the morbidity and mortality associated with elderly patients presenting with abdominal pathologic conditions are significant. For this reason, the clinician must be familiar with some subtle and not so subtle differences when caring for the geriatric patient with abdominal pain to ensure timely diagnosis and appropriate treatment.

摘要

随着人口老龄化,急诊科临床医生会发现老年腹痛患者数量增加。与年轻患者相比,这一患者群体出现腹部疾病的典型症状、体格检查结果及实验室检查值的可能性较小。然而,老年患者出现腹部病理状况时的发病率和死亡率都很高。因此,临床医生在护理老年腹痛患者时必须熟悉一些细微和不太细微的差异,以确保及时诊断和恰当治疗。

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