引起老年人腹部急症的常見原因

Common Causes of Acute Abdomen in the Elderly

黃家榆(Chia-Yu Huang) ； 劉晟昊(Sheng-Hao Liu)

《台灣老年醫學暨老年學會雜誌》 13卷3期 (2018/08) Pp. 139-151

https://doi.org/10.29461/TGGa.201808_13(3).0001

摘要

腹部急症是老年人就醫的常見原因之一，但老年人患病時不同於成年人會出現典型的症狀，而且臨床表現會隨著疾病有多種變化。這讓臨床醫師在診斷與治療老年人的腹部急症時，面臨到相當的挑戰。本篇綜論回顧各文獻在討論引起老年人腹部急症的常見原因，包括：消化性潰瘍、膽道與胰臟疾病、腹主動脈瘤、腸阻塞、憩室疾病與闌尾炎等。其中也論及到在面對上述疾病時，會在診斷、檢查與治療上可能遇到的困難。

關鍵字

老年人 ； 腹部急症 ； 腹痛 ； 消化性潰瘍 ； 非典型表現

並列摘要

Abdominal pain is one of the most common complaints in older adults. Challenges to the evaluation and management of abdominal pain in the elderly population are multifactorial but start with the lack of typical clinical symptoms and varying presentations of intra-abdominal problems. The article began with a review of the common causes of acute abdomen in the elderly, such as peptic ulcer, biliary and pancreatic disease, abdominal aortic aneurysm, ileus, diverticular disease, and appendicitis. Difficulties of diagnosis, examination and treatment for the above diseases were then discussed.

並列關鍵字

elderly ； acute abdomen ； abdominal pain ； peptic ulcer ； atypical presentation