Analysis of related factors affecting the short outcome of abdominal surgery among elderly patients with acute abdomen
10.3760/cma.j.issn.1008-6706.2016.01.030
- VernacularTitle:老年人急腹症手术短期预后影响因素分析
- Author:
Feng ZHENG
;
Changchun XIAO
;
Kunpeng GUO
;
Fuying ZHONG
- Publication Type:Journal Article
- Keywords:
Abdomen;
Acute;
Diagnosis;
Treatment;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;(1):110-113
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the related factors that affect the short outcome of abdominal surgery among elderly patients with acute abdomen.Methods Clinical data of 378 patients aged >60 years with acute abdo-men were retrospectively analyzed.The key factors under analysis in this study were the occurrence of major complica-tions,death from any cause within 30 days and related factors after the operation.Results The most common diagno-ses were acute appendicitis (134 cases,35.4%),biliary tract disease (96 cases,25.4%),intestinal obstruction (68 cases,20.0%)and inguinal hernia(42 cases,11.1%).The majority of patients(327cases,86.5%)underwent open surgery.12cases(23.5%)of all 51 cases underwent laparoscopic surgery were converted to open surgery.The 30 day mortality rate and rate of operation -related complications were 9.5% and 22.0%,respectively.Analysis showed that patients'age,low body mass index,open surgery and ASA grade Ⅲ or above may increase mortality(all P <0.05).Conclusion The acute abdomen in elderly patients was with much complications,operation treatment is still the first choice.The patient's older age,low body mass index,open surgery may increase the mortality rate.ASA grade higher may predict a bad prognosis.The operation of elderly patiens had a high morbidity and mortality,as general surgeon,we should pay more attention to acute abdomen in elderly patients.
