摘要
目的探讨老年人坏疽穿孔阑尾炎的发病特点、诊断要点,寻求行之有效的治疗原则以提高临床治愈率。方法回顾总结六安市立医院于2007年1月-2011年7月间共收治急性阑尾炎216例,其中58例(26.9%)老年人坏疽穿孔阑尾炎的临床资料。结果本组58例均为急性阑尾炎致阑尾坏疽穿孔并发腹膜炎,甚至感染性休克,经手术治疗,治愈57例。其中,切口感染2例,腹腔残余感染1例,非手术治愈。死亡1例(死于心肌梗死)。结论老年急性阑尾炎若能早期明确诊断,及时正确治疗,一般均能治愈。针对老年人病理生理变化复杂的特殊性,急性阑尾炎易发生坏疽穿孔,且并发症较多等特点,极早确诊,积极充分术前准备下及早进行合理的手术治疗是提高临床治愈率的关键。
Objective To explore clinical characteristics and diagnosis of the gangrenous and perforated appendicitis in elderly patients,and improve the clinical cure rate.Methods The clinical data of 216 cases of acute appendicitis,including 58 cases gangrenous and perforated appendicitis,in our hospital from 2007 January to 2011 July were retrospectively summarized.Results All of 58 cases were acute appendicitis,with gangrenous and perforated peritonitis or septic shock.57 cases were cured by surgical therapy.2 cases were with wound infection,1 case with residual abdominal infection and cured by conservative treatment,1 case died of myocardial infarction.Conclusion Elderly acute appendicitis usually can be cured based on the early diagnosis,timely and correct treatment.For the elderly pathological changes of particularity,acute appendicitis is prone to gangrene perforation,more complications.The early diagnosis,full preoperative preparation and early reasonable operation treatment is the key to improve the clinical cure rate.
出处
《中华全科医学》
2012年第5期725-726,共2页
Chinese Journal of General Practice
关键词
老年人
阑尾炎
坏疽
穿孔
外科手术
Aged patients
Appendicitis
Gangrenous
Perforation
Surgical operation
