Clinical treatment of elderly patients with acute appendicitis.docVIP

 PAGE \* MERGEFORMAT 8 Clinical treatment of elderly patients with acute appendicitis Acute appendicitis is common and frequently-occurring disease clinically. From January 2009 to February 2010 while working at the grassroots level, the statistics, after surgery for acute appendicitis, a total of 1250 cases, 69 cases in which elderly patients, accounting for 10%, is to the elderly and non-aged data for clinical control analysis to examine the clinical features of acute appendicitis and perioperative treatment. are as follows. 1 Clinical data 1.1 General Information of this group were 38 males and 31 females, aged 60 to 70 years in 41 cases, 71 to 80 years in 22 cases, 6 cases over 80 years old. Onset to treatment time: 24h or less in 9 cases (13%), 25 48h22 (32%), more than 48h38 (55%). 1.2 Clinical manifestations of 36 cases of right lower abdominal pain (52%), 26 patients with metastatic abdominal pain (38%), all abdominal pain in 5 cases (7%), abdominal pain is not obvious in 2 cases (3%), nausea, vomiting in 27 cases (39% ), abdominal distension in 23 cases (33%), body temperature higher than 37.5 19 patients (28%). right lower abdomen, near Maxwell has a fixed point of tenderness in 46 cases (67%), typical of the right lower quadrant tenderness, rebound tenderness with muscle tension in 16 patients (23%), whole abdominal tenderness, rebound tenderness with muscle tension in 7 cases (9-10%). blood leukocyte count exceeds 1.0 109/L51 patients (74%), 80% neutrophils more than 49 cases (71%). The combination of chronic diseases and 36 cases (52%), followed by hypertension, chronic bronchitis, emphysema, pulmonary heart disease, coronary heart disease, liver cirrhosis, diabetes. 1.3 Diagnosis and treatment diagnostic surgery within 24h after admission, 51 cases diagnosed more than 24h operation in 9 cases, including prompt diagnosis of B-ultrasound in 5 cases, CT examinations showed diagnosed in 3 patients. Diagnosis is not cl