老年急腹症的特点及EICU治疗的分析

The Character of Elderly Acute Abdomen and the Analysis of EICU Treatment

摘要: 目的：总结非胆系老年急腹症的特点及EICU的治疗。方法：回顾性分析陕西省人民医院急诊外科重症监护室(EICU)在2018.1~2021.12收住的348例年龄 ≥ 65岁，非胆系急腹症患者的临床资料。结果：348例中，治愈320例，治愈率92.0%；死亡28例，死亡率8.0%；其中20例因严重脓毒性休克致MODS；突发心肌梗死3例，突发肺栓塞5例。结论：老年急腹症起病急，临床症状多不典型，误诊误治率较高，宜早期诊断，积极围术期处理，合理手术；EICU可提供系统性的监测及多脏器的功能支持，并对处理合并症、防治并发症、提升救治成功率以及降低死亡率方面具有至关重要的作用。

Abstract: Objective: To summarize the characteristics of elderly acute abdomen in the non-biliary system and the treatment of EICU. Methods: A retrospective analysis was performed on the clinical data of 348 non-biliary acute abdomen patients admitted to the EICU at the age of ≥65 years old in the emer-gency surgery department of the People’s Hospital of Shaanxi Province during 2018.1~2021.12. Results: In 348 cases, 320 cases were cured, the cure rate was 92.0%; 28 cases died, with a mortal-ity rate of 8.0%; 20 cases were MODS due to severe septic shock. There were 3 cases of sudden my-ocardial infarction and 5 cases of sudden pulmonary embolism. Conclusion: Elderly patients with acute abdomen have acute onset, atypical clinical symptoms, high rate of misdiagnosis and mis-treatment, early diagnosis, active perioperative treatment and reasonable operation. EICU can pro-vide systematic monitoring and functional support of multiple organs, and plays an important role in dealing with complications, preventing complications, improving the success rate of treatment and reducing mortality.