Aged 60 cases of acute appendicitis.docVIP

 PAGE \* MERGEFORMAT 9 Aged 60 cases of acute appendicitis [Abstract] Objective To investigate the pathogenesis of acute appendicitis in the elderly, diagnosis and surgical treatment elements of the clinical effect. Methods admitted to our hospital in recent years, 60 patients with acute appendicitis, clinical data were retrospectively analyzed. Results of this group of patients cured 56 cases, 93.3%; 1 case perforated appendicitis gangrenous suppurative wound infection occurred, the drainage of dressing was recovered, were no residual intra-abdominal hemorrhage and abscess formation, no adhesive intestinal obstruction and phlebitis occurred in the appendix stump 1 case bowel fistula, cured after reoperation. followed up for 6 months, without any adhesions. Conclusion Appendiceal lumen obstruction and bacterial infection is the main pathogenesis of acute appendicitis, according to metastatic right lower quadrant pain and other typical symptoms and signs of the disease Diagnosis is not difficult, once diagnosed elderly patients with acute appendicitis, appendectomy should be as early as possible, adequate preoperative preparation, anesthetic effect and improve the satisfaction of the perioperative management is to reduce complications. [Keywords:] the pathogenesis of acute appendicitis surgery In recent years, the incidence of age-related appendicitis increasing year by year, the disease is often complicated, easy to delay in treatment, and have more complications and higher mortality. Elderly typical clinical manifestations of acute appendicitis, a large proportion of perforated appendix, and often associated with other diseases, severe illness and high mortality. There are reports of acute appendicitis in the elderly mortality was 4.2% [1]. in our hospital from September 2007 to January 2010 were treated on a consolidated basis over 60 years of age-related diseases 30 patients with appendicitis, are as follows. 1 Materials and Methods 1.