急性阑尾炎是常见的急腹症之一,如得不到及时治疗,可发生阑尾穿孔,进而引起腹膜炎、休克,危及生命。一般认为急性阑尾炎除非有特殊原因,否则一经诊断宜尽早手术[1]。随着我国人口的老龄化,老年人急性阑尾炎的发病数有所增加。老年人急性阑尾炎临床表现不典型,阑尾穿孔比例大,常 Acute appendicitis is one of the common acute abdomen, such as lack of timely treatment, perforated appendix may occur, and then cause peritonitis, shock, life-threatening. Generally believed that acute appendicitis unless there are special reasons, or as soon as possible after diagnosis of surgery [1]. With the aging of our population, the incidence of acute appendicitis in the elderly has increased. Acute appendicitis in elderly patients with atypical clinical manifestations, large proportion of perforated appendix, often