Diagnosis Analysis of 550 Elderly Patients with Acute Abdomen

LIANG Xiao-yue; WU Mu-fu; ZHUANG Jun-can

Abstract：Objective:To investigate the clinical characteristics of elderly acute abdomen,observe the treatment effect,and summarize diagnosis experience.Method:Five hundred and fifty elderly patients with acute abdomen were selected in our hospital from January 2009 to January 2014,the clinical data of them was retrospectively reviewed,and the factors of diagnosis and theirs influences on path and outcome were analyzed.Result:Patients with age under 70 years,disease course<12 h,number of complication≤2 and conscious disorders before the disease,the clinical manifestation,diagnosis,diagnostic accuracy rate the utility efficiency,were higher than other patients,the difference was statistically significant (P<0.05),patients with typical clinical manifestations, correct and efficiency diagnosis the mortality and the rate of operations transferred from of internal medicine department were lower than other patients,the differences were statistical significance (P<0.05). Conclusion:The diagnosis of elderly acute abdomen utility is affected by many factors,including the patient's condition and the complications,course of disease,diagnostic utility directly affect the treatment outcome and path;hospital should accumulate experience, improve the suspected coincidence rate,so as to reduce the observation time,carry out operation immediately,reduce the rate of operations transferred from of internal medicine department.