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老年腹痛患者的灾难诊断。

Disaster Diagnoses in Geriatric Patients with Abdominal Pain.

机构信息

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

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

出版信息

Emerg Med Clin North Am. 2021 May;39(2):347-360. doi: 10.1016/j.emc.2021.01.011.

DOI:10.1016/j.emc.2021.01.011
PMID:33863464
Abstract

Care of geriatric patients with abdominal pain can pose significant diagnostic and therapeutic challenges to emergency physicians. Older adults rarely present with classic signs, symptoms, and laboratory abnormalities. The incidence of life-threatening emergencies, including abdominal aortic aneurysm, mesenteric ischemia, perforated viscus, and other surgical emergencies, is high. This article explores the evaluation and management of several important causes of abdominal pain in geriatric patients with an emphasis on high-risk presentations.

摘要

老年腹痛患者的护理可能会给急诊医生带来重大的诊断和治疗挑战。老年人很少出现典型的体征、症状和实验室异常。包括腹主动脉瘤、肠系膜缺血、穿孔性内脏和其他外科急症在内的危及生命的紧急情况发生率很高。本文探讨了老年腹痛患者几种重要病因的评估和治疗,重点介绍高危表现。

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