Rosenthal R A
Department of Surgery, University of Chicago Hospitals, Illinois.
Surg Clin North Am. 1994 Apr;74(2):261-91.
Small-bowel disorders in the elderly, whether primary or secondary, are characterized by vague complaints and misleading signs and symptoms. Diagnosis is frequently unclear, and delays in initiating treatment often result in loss of tissue and life. Successful management is possible, with an increased awareness of the subtleties of presentation of these disorders and an aggressive diagnostic response to initial complaints. Abdominal wall hernias in the elderly, on the other hand, usually present no diagnostic dilemma. However, these hernias are frequently neglected by both the patient and the physician. Emergency repair for incarceration is associated with excessive mortality and morbidity. Expeditious elective repair can be performed with minimal risk and therefore is indicated in nearly all cases.
老年人的小肠疾病，无论是原发性还是继发性，都具有主诉模糊以及体征和症状具有误导性的特点。诊断往往不明确，治疗开始的延迟常常导致组织丧失和生命危险。通过提高对这些疾病表现细微之处的认识以及对初始主诉采取积极的诊断措施，成功的治疗是有可能的。另一方面，老年人的腹壁疝通常不存在诊断难题。然而，这些疝常常被患者和医生忽视。因嵌顿而进行的急诊修补会带来过高的死亡率和发病率。可以以最小的风险进行快速择期修补，因此几乎在所有情况下都应进行。
