Phillips S L, Burns G P
Veterans Administration Medical Center, Martinez, California.
Med Clin North Am. 1988 Sep;72(5):1213-24. doi: 10.1016/s0025-7125(16)30737-4.
The elderly patient with acute abdominal disease may present with a classical clinical picture. However, the presentation often is atypical and perplexes the physician. The factors involved include altered anatomical features, fear of being placed in an institution, difficulty in communicating with the physician and family members, diminished response to infection, and multiple coexisting diseases. Awareness of the atypical clinical presentations and the judicious use of special investigations will enable the clinician to make earlier and more accurate diagnoses and, thus, reduce morbidity and mortality.
患有急性腹部疾病的老年患者可能会呈现出典型的临床症状。然而，其症状表现往往不典型，这会让医生感到困惑。相关因素包括解剖结构改变、害怕被送进养老院、与医生及家庭成员沟通困难、对感染的反应减弱以及多种并存疾病。认识到这些非典型临床表现并合理运用特殊检查，将使临床医生能够更早、更准确地做出诊断，从而降低发病率和死亡率。
