发达国家老年急腹症的经验显示,急诊收治的60岁以上老人急腹症中有三分之一需急诊手术治疗,老年急腹症的死亡率甚至高于急性ST段抬高型心肌梗死,高达10%[1,2]。这使得临床实践中需对老年急腹症给与更及时处理,而其前提则是老年急腹症的明确诊断,本文将对此进行探讨。临床实践中 The experience of elderly acute abdomen in developed countries shows that one third of acute abdomen cases admitted to the emergency department over the age of 60 need emergency surgery and the mortality rate of elderly acute abdomen is even higher than acute ST-segment elevation myocardial infarction, Up to 10% [1,2]. This makes clinical practice to be more timely treatment of elderly patients with acute abdomen, and its premise is a clear diagnosis of acute abdomen in elderly, this article will be explored. In clinical practice