摘要
目的:探讨老年性急性阑尾炎的病因、诊断及治疗方法。方法:自2006～2010年收治老年急性阑尾炎患者68例,对其临床资料及疗效进行回顾总结。结果:本组68例患者,痊愈63例(占92.6%),术后并发粘连性肠梗阻5例,4例经保守治疗后痊愈,1例保守治疗失败,术后两周行肠粘连松解术,术后随访两年无再次梗阻,全组病人未出现腹腔感染,肠漏等并发症。结论:老年性急性阑尾炎是特殊类型的阑尾炎,一旦确诊应尽早手术治疗,术中充分冲洗引流,术后积极抗炎治疗,尽量减少并发症。
Objective：To explore the etiology of senile acute appendicitis, diagnosis and treatment. Method： Since January 2006 from December 2010 elderly patients with acute appendicitis, a total of 68 patients in the clinical data, review and curative effect. Result ： Among 68 patients healed 63, accounting for 92.6% , the follow - up adhesion ileus by 5 cases,4 cases recovered after conservative therapy and 1 case of conservative treatment failure, the two weeks bowel adhesion loose solution technique, the follow - up of two years, the group without obstruction of the patients again does not appear celiac infection, Conclusion： Senile acute appendicitis is a special type of appendicitis,once diagnosed early surgical treatment should be completely flushed, intraoperative and postoperative drainage actively anti -inflammatory treatment, try to reduce the complications.
