Objective To investigate the diagnosis and treatment of surgical acute abdomen,respectively,for different age groups of the acute abdomen symptoms and signs for analysis,and the incidence of the disease on the surgical acute abdomen pose than a summarized.Methods In our hospital from January 2001 to January 2010 surgical acute abdomen 1000 cases treated,including 431 cases of acute appendicitis,298 cases of gallstones,cholecystitis,151 patients,67 patients with gastric perforation,53 cases of urinary calculi.Separately for different age groups of the acute abdomen symptoms and signs for analysis,and the incidence of the disease on the surgical acute abdomen pose than a summarized.Results Surgical acute abdomen common major diseases,acute appendicitis,gallstones,cholecystitis,gastric perforation,urinary stones,of which the most common acute appendicitis,and other diseases,the difference was significant(P0.05 or P0.01).And the different age groups difference between the clinical symptoms and signs were significantly(P0.05).Conclusion Reduce the mortality of acute abdomen should be emphasized that the timely diagnosis,timely and correct treatment,the course of disease closely monitored and observed the coexistence of disease and complications of active treatment,and effective support of organ function is still the treatment of acute abdomen in the main components.