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本文总结了我科近年全年急腹症患者１３１７例的诊治情况。结果显示：排列前四位的急腹症是急性阑尾炎（４３．３６％），胆道急症（２５．２２％），急性肠梗阻（９．１１％）和腹部创伤（６．９９％）。几乎１００％的腹内自发出血，急性全腹膜炎、腹部创伤和急性阑尾炎患者经历了急诊手术，而半数左右的腹腔脓肿，急性胰腺炎和肠外瘘保守治疗有效。１３０３例（９９．４７％）使用了抗生素，其中８３．０４％的患者使用的普通抗生素。本组３６例发生ＭＯＤＳ（发生率２．７３％）。最后２６例患者死亡（病死率１．９７％），其中２３例死于ＭＯＤＳ。
This article summarizes the diagnosis and treatment of 1317 acute abdomen patients in our department in recent years. The results showed that the first four acute abdomen were acute appendicitis (43.36%), biliary emergencies (25.22%), acute intestinal obstruction (9.11%) and abdominal trauma (6.99%). Almost 100% of intra-abdominal spontaneous bleeding, acute peritonitis, abdominal trauma and acute appendicitis patients underwent emergency surgery, and about half of the abdominal abscess, acute pancreatitis and intestinal fistula conservative treatment effective. 1303 patients (99.47%) used antibiotics, of which 83.04% of patients used ordinary antibiotics. The group of 36 patients with MODS (incidence 2.73%). The last 26 patients died (case fatality rate 1.97%), of which 23 died of MODS.