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題 名 | Emergent Abdominal Surgery in the Elderly=老年人腹部急診手術 |
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作 者 | 羅偉鈞; 劉絮穎; 莫景棠; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:4 民87.07-08 |
頁 次 | 頁232-238 |
分類號 | 416.284 |
關鍵詞 | 老年人; 腹部急症手術; Emergent abdominal surgery; Elderly; |
語 文 | 英文(English) |
中文摘要 | 本研究統計高雄榮民總醫院在1990年11月至1996年8月間,因為腹部急症而需要開刀治療的六十五歲以上老年人的治療結果。我們發現其中因急性腹痛需急診手術者,以消化性潰瘍穿孔併發腹膜炎最多(佔30.2%)。其次是急性闌尾炎(佔21.6%)及急性膽道炎症和結石(佔19.6%)。手術之死亡率為15.4%,術後併發症是26.5%,其中以壞死性胰臟炎及缺血性腸壞死的死亡率最高,分別為75%和70.4%。另外在我們的研究中也發現如果病人本身有高血壓、糖尿病、心臟病、呼吸系統疾病等,他們的術後死亡率及併發症發生率也是明顯地增高許多,患者於急症發生到接受治療的時間愈長,術後死亡率及併發症發生率也有明顯的增加。但是老年人的年齡與手術的預後並沒有明顯差異。綜合以上,我們認為目前腹部急症手術對於健康的老人仍是一項相當安全的治療方式,然而我們必須掌握如何及早確定那些人需要手術治療以免影響預後結果。 |
英文摘要 | We reviewed 669 consecutive patients aged over 65 years, who underwent emergent abdominal surgery between Nov. 1990 and Aug. 1996 at Veterans General Hospital-Kaohsiung. Emergent operations were most commonly performed for perforated gastroduodenal ulcer (30.2%), appendicitis (21.6%), biliary infection and calculi (19.6%), UGI bleeding (13.3%) and intestinal obstruction (10.6%). The operative morbidity and mortality rates were 26.5% and 15.4%, respectively. Patients with necrotizing pancreatitis had the highest mortality rate (75%), followed by acute mesenteric ischemia (70.4%). Other factors that significantly increased the mortality and morbidity were concomitant medical illness and the duration of symptoms. In contrast, older patients were not associated with higher morbidity or mortality. Our experience demonstrates that emergent abdominal surgery in the elderly is quite safe in previously healthy patients. However, the clinicians should aim to achieve early diagnosis and prompt treatment to improve the out-come. |
本系統中英文摘要資訊取自各篇刊載內容。