Clinical study on acute generalized peritonitis in the aged
- VernacularTitle:老年人急性弥漫性腹膜炎的临床研究
- Author:
Jijian WANG
- Publication Type:Journal Article
- Keywords:
Generalized peritonitis;
Acute disease;
Aged;
Prognosis;
Perioperation
- From:
Journal of Chongqing Medical University
2003;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the clinical characteristics and prognostic factors in aged patients with acute generalized peritonitis(AGP)and make the satisfactory perioperative management of them to improve the curative efficacy.Methods:63 patients aged 60 years and older with AGP under emergency laparotomy were analyzed retrospectively.Results:AGP in aged patients was mostly secondary and had non-typical clinical manifestations.Their first consultation in outpatient clinic was late and the duration from incidence of abdominal pain to operation was long(mean time 42hs and 64.9hs respectively).These patients had a lot of preoperative concomitant diseases and high morbidity(36.5%)and mortality(20.6%) postoperatively.Conclusion:The operation time,concomitant diseases,types of primary diseases.types of complications and situation of abdominal cavity are the factors affecting prognosis.The key to perioperative management should be early diagnosis,preferable treatment for concomitant diseases and early operation,meanwhile,maintaining the important organs' function and preventing and controlling the complications postoperatively are very important.
