老年腹痛患者的分析

吴冬，黄宗华

（安康市妇幼保健院，陕西 安康，725000）

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摘要：

目的 分析老年腹痛患者的病变部位及性质，为临床诊断及治疗提供参考。方法 选取我院2016年3月至2016年8月收治的52例老年腹痛患者。分析其临床资料，评价患者的诊断情况、治疗方法与治愈情况。结果 诊断结果显示，所有患者中，腹部器官疾病占40.38%，腹外疾病占50.00%，不明原因疾病占9.62%。所有患者中，接受手术治疗的有18 例，占 34.62%；接受非手术治疗的有34例，占65.38%。其中，治愈45例，占86.54%；好转5 例，占9.62%；患者自动离院3例，占 5.77%，误诊2例，占3.85%。被误诊的患者后来被确诊为下壁心梗、结肠癌。结论 对老年腹痛患者进行诊断及治疗时，必须详细观察病情并进行仔细探查，防止误诊。

关键词：腹痛；诊断；治疗

中图分类号：R441文献标志码：A文章编号：2096-1413(2017)28-0057-02

Clinical aralysis of elderly patients with abdominal pain
WU Dong, HANG Zong-hua
(Ankang Municipality Maternity and Child Care, Ankang 725000, China)

ABSTRACT: Objective To analyze the location and nature of lesions in elderly patients with abdominal pain, to provide a reference for clinical diagnosis and treatment. Methods A total of 52 elderly patients with abdominal pain admitted from March 2016 to August 2016 in our hospital were selected. The clinical data of the patients were analyzed, and the diagnosis, treatment and cure situation were evaluated. Results Diagnosis result showed that abdominal organ disease was 40.38%, non-abdominal disease was 50.00% and unexplained disease was 9.62% in all of the patients. There were 18 cases of patients accepted the surgical treatment (34.62%), 34 cases received non-surgical treatment (65.38%). There were 45 cases of patients were cured (86.54%), 5 cases were improved (9.62%), 3 cases were automatically released (5.77%) and 2 cases were misdiagnosis (3.85%). Misdiagnosed patients were diagnosed as inferior wall myocardial infarction and colon cancer. Conclusion In diagnosis and treatment of elderly patients with abdominal pain, it is necessary to observe the disease in detail, carefully explored, as to prevent misdiagnosis.
KEYWORDS: abdominal pain; diagnosis; treatment

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