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目的探讨老年急性阑尾炎的临床诊治特点,为老年急性阑尾炎诊治提供依据。方法选2010年1月至2011年1月期间住院的老年急性阑尾炎患者32例,对其超声诊断与手术资料进行统计分析。结果 32例手术急性阑尾炎患者,2例漏诊或不确定,诊断率达93.8%。经过手术治疗后,并发症发生率为9.8%,均治愈出院。结论在老年急性阑尾炎的诊断中,要积极利用多种诊断方法,合理观察。必须采用手术治疗,术中要充分考虑到各种并发症的可能性,及时加强预防。
Objective To investigate the clinical features of acute appendicitis in elderly patients and provide evidence for the diagnosis and treatment of acute appendicitis in the elderly. Methods Thirty-two elderly patients with acute appendicitis admitted to our hospital from January 2010 to January 2011 were enrolled in this study. The data of ultrasonic diagnosis and operation were analyzed statistically. Results 32 cases of acute appendicitis patients, 2 cases missed or uncertain, the diagnosis rate was 93.8%. After surgery, the complication rate was 9.8%, were cured and discharged. Conclusion In the diagnosis of acute appendicitis in the elderly, we should make active use of a variety of diagnostic methods, reasonable observation. Must be treated surgically, surgery should take full account of the possibility of various complications, timely and preventive measures.