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目的:探讨老年急性阑尾炎患者的临床特点及诊治方法。方法:回顾性分析2009年2月～2011年8月我院收治的年龄在60岁以上老年急性阑尾炎20例患者的诊治进行分析总结。结果:急性阑尾炎20例都施行手术,18例患者伤口甲级愈合均痊愈出院。1例患者有切口感染,1例脂肪液化伤口延期愈合,2例经换药处理愈合后如期出院。在20例患者中伴有心血管疾病或肺部疾病者8例,糖尿病者2例,无1例死亡。结论:老年急性阑尾炎患者的临床症状与体征常不典型,穿孔率高,应力求早期诊断,早期手术治疗。
Objective: To investigate the clinical features and diagnosis and treatment of elderly patients with acute appendicitis. Methods: A retrospective analysis was made on the diagnosis and treatment of 20 cases of senile acute appendicitis aged 60 years and over in our hospital from February 2009 to August 2011. Results: Twenty cases of acute appendicitis were operated on, and 18 cases of grade A wound healing were discharged. One patient had an incision infection, and one case of liquefied wound with fat was postponed healed. Two patients were discharged as scheduled after healed by dressing change. In 20 patients with cardiovascular disease or pulmonary disease in 8 cases, 2 cases of diabetes, no one died. Conclusion: The clinical symptoms and signs of elderly patients with acute appendicitis are often atypical, with high perforation rates. Early diagnosis and early surgical treatment should be sought.