| 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. |
