Surgical acute abdomen in elderly patients.
<strong>Fundaments :</strong> The surgical acute abdomen usually is the most frequent cause of abdominal surgery of urgency in t he old one, with the high mortality in spite of the modern surgical technologies. <strong>Objective:</strong> To evaluate the surgery of the surgic...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2004-08-01
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| Series: | Medisur |
| Subjects: | |
| Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/51 |
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| Summary: | <strong>Fundaments :</strong> The surgical acute abdomen usually is the most frequent cause of abdominal surgery of urgency in t he old one, with the high mortality in spite of the modern surgical technologies. <strong>Objective:</strong> To evaluate the surgery of the surgical acute abdomen in the old one. <strong>Method:</strong> Appears a prospectivo descriptive study that includes 102 patients of 60 years or more who underwent surgery at the ¨Dr Gustavo Aldereguía Lima¨ University Hospital of Cienfuegos with this diagnostic. The primary data were obtained from clinical cards of the patients and the daily clinical observation until the debit. <strong>Results:</strong> The patients presented an average age of 74 years, being the most frequent causes of the syndrome intestinal obstruction (32,4%), the biliary tract affections (22,5%), and acute appendicitis (21,6%). The most frequent symptom was abdominal pain (96,08%), and we noticed tachycardia in 80,4%. Postoperating complications in 47,06% of the patients appeared and was observed a mortality of 26,5% with statistically significant relation with the age, ASA classification, surgical risk, time of evolution and the surgical time. The peritonitis heads the direct causes of death. |
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| ISSN: | 1727-897X |