analysis of clinical diagnosis and treatment of 36 cases of senile appendicitis（分析36例的临床诊断和治疗老年性阑尾炎）.docVIP

Analysis of clinical diagnosis and treatment of 36 cases of senile appendicitis [Abstract] Objective To explore the clinical features of senile appendicitis, diagnosis and treatment. January 2009 -2010 November were 36 cases of elderly patients with appendicitis clinical data were retrospectively analyzed the results of 36 patients in the preoperative diagnosis of 29 cases of suspected diagnostic laparotomy, postoperative diagnosis seven cases of this group of patients all of the implementation of the surgery and all were cured, the recent follow-up did not find complications. Conclusions Elderly patients with acute appendicitis in patients with clinical symptoms and signs are not typical laboratory parameters did not change significantly, more complications, and complications often appears as the principal contradiction, its should be on high alert, early diagnosis, early surgery. [Keywords:] elderly appendicitis surgery With the improvement of living standards, population aging is increasingly evident, the onset of disease is more and more attention. Domestic data reports, the elderly with acute appendicitis incidence rates rose to 4%, many patients are serious condition, the merger disease more rapid progression, the perforation rate, sometimes complicated by shock and multiple organ failure and even death [1]. department in January 2009 November -2010 were 36 cases of elderly patients with appendicitis, are reported as follows . A data 1.1 General Information January 2009 November -2010 were 36 cases of elderly patients with appendicitis in this group of 36 patients, 21 males and 15 females; age of 61 to 78 years, the average age of 67.6 + -4.4 years old .36 patients were loss of appetite, abdominal pain and vomiting in 23 cases, 6 cases of simple diarrhea, metastatic right lower abdominal pain 19 cases, combined medical conditions diabetes four cases, 7 cases of patients with hypertension, with nine cases of acute and chronic bronchitis