32例老年人急腹症合并感染性休克诊治分析

目的 探讨老年人急腹症合并感染性休克的诊治方法,降低病死率.方法 回顾分析我院2007年1月-2009年12月在外科住院的患者32例老年人急腹症合并感染性休克患者的临床资料.结果 32例老年急腹症患者中接受手术治疗29例90.06%（29/32）,皆痊愈;非手术治疗3例9.3%（3/32）,皆死亡.结论 外科急腹症合并感染性休克,首先应抗休克治疗,选择合适的手术时机及时手术,控制感染,早期防治MODS,是抢救成功的重要环节.

Diagnosis and therapy of acute abdominal pain with septic shock in elderly people

Objective To explore diagnosis and treatment of acute abdominal pain with septic shock in elderly people to lower the mortality rate. Methods The clinical data on 32 elderly patients with acute abdominal pain and septic shock who had been hospitalized from January 2007 to December 2009 were retrospectively analyzed. Results 29 of 32 elderly patients (90.06%) received surgery while the remaining 3 only received medical treatment and died of MODS. Conclusions Treatment of shock should be the first therapy for acute abdominal pain with septic shock. The proper surgical timing, infection control, and early prevention and treatment of MODS are the important factors for life-saving.