摘要
目的:探讨老年性急性弥漫性腹膜炎的诊治方法。方法:以我院52例老年性急性弥漫性腹膜炎为研究组,同期70例青壮年急性弥漫性腹膜炎患者为对照,对两组资料进行比较分析。结果:老年组患者出现腹痛、恶心呕吐、发热等症状的比率明显低于对照组,发生休克的比例明显高于对照组(P<0.05)。老年组治愈率低于对照组,死亡率和并发症发生率高于对照组,两组间差异均有统计学意义(P<0.05)。结论:老年性急性弥漫性腹膜炎症状缺乏典型性,误诊、漏诊率高,病情发展迅速,术后并发症多,死亡率高,临床诊治要给予高度重视。
Objective:To explore the diagnosis and treatment of aged acute diffuse peritonitis.Methods:52 aged patients in our hospital with acute diffuse peritonitis were as the study group,and over the same period 70 cases of young patients as the control,the data of two groups were compared.Results:The incidence of abdominal pain,nausea vomiting,fever in study group was significantly lower than the control group,however,shock rate was significantly higher(P0.05).The cure rate of aged group was lower than the control group,mortality and complication rate were higher,the differences between the two groups were significant(P0.05).Conclusion:Senile acute diffuse peritonitis lacks typical symptoms with high misdiagnosis rate.Its progression is rapid,and high postoperative complications and mortality are high,so it should be given high priority to clinical diagnosis and treatment.
出处
《医学理论与实践》
2011年第9期997-998,共2页
The Journal of Medical Theory and Practice
关键词
老年性
急性
弥漫性
腹膜炎
诊断
治疗
Aged
Acute peritonitis
Diffuse
Diagnosis
Treatment