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目的分析老年急性阑尾炎患者的临床特点,指导老年急性阑尾炎的正确诊断和合理治疗。方法对45例60岁以上的老年急性阑尾炎患者的临床诊断及治疗的相关资料进行收集分析。结果 45例患者均行手术治疗,单纯阑尾切除41例,阑尾切除加腹腔冲洗术4例,所有患者均痊愈出院。结论老年人急性阑尾炎临床表现多不典型,且发展快,阑尾穿孔率高,病死率高,老年急性阑尾炎极易误诊和误治;符合手术条件的早期手术是治疗老年急性阑尾炎成功的关键。
Objective To analyze the clinical features of elderly patients with acute appendicitis and to guide the correct diagnosis and rational treatment of acute appendicitis in the elderly. Methods The clinical data of 45 elderly patients with acute appendicitis over the age of 60 were collected and analyzed. Results All the 45 patients underwent surgical treatment. There were 41 cases of simple appendectomy, 4 cases of appendectomy plus abdominal irrigation, and all patients were discharged. Conclusions The clinical manifestations of acute appendicitis in the elderly are atypical and rapid. The perforation rate of the appendix is high, and the mortality rate is high. The acute appendicitis in the elderly is easily misdiagnosed and mistakenly treated. Early surgery that meets the surgical conditions is the key to the success of the treatment of acute appendicitis in the elderly.