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目的:探讨老年急性阑尾炎误诊穿孔原因及诊治经验。方法:回顾分析经手术治疗的40例60岁以上老年人急性阑尾炎穿孔的临床表现及诊治过程。结果:首诊明确诊断11例,手术以前至少误诊其它疾病29例,治愈20例,术后出现并发症20例。结论:老年人阑尾炎的病理特点,就诊不及时,诊断延误,手术延误造成老年人急性阑尾穿孔的主要原因,早期就诊,早期诊断,早期手术,正确进行围术期的处理,是提高老年人急性阑尾炎治疗效果的关键。
Objective: To investigate the causes and diagnosis and treatment of misdiagnosis and perforation of senile acute appendicitis. Methods: The clinical manifestations, diagnosis and treatment of acute appendicitis perforation in 40 elderly patients over the age of 60 surgically treated were retrospectively analyzed. Results: The first diagnosis of a clear diagnosis of 11 cases, at least before misdiagnosis of other diseases in 29 cases, 20 cases were cured, postoperative complications occurred in 20 cases. Conclusion: The pathological features of appendicitis in the elderly, the main reason for delayed diagnosis, delayed diagnosis and delayed operation caused by acute appendix perforation in the elderly are the early treatment, early diagnosis and early operation, and the correct perioperative management is to improve the acuteness of the elderly The key to the therapeutic effect of appendicitis.