Analysis on early diagnosis and treatment of 276 cases with acute appendicitis in elderly
10.3760/cma.j.issn.1008-6706.2009.07.030
- VernacularTitle:老年人急性阑尾炎276例诊治分析
- Author:
Taiqian YUE
;
Bo LIU
;
Rui REN
;
Chengyou DU
- Publication Type:Journal Article
- Keywords:
Appendicitis;
Appendectomy;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2009;16(7):1199-1200
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate early diagnosis, clinical effect of surgical treatment and prognosis of a-cute appendicitis in elderly. Methods The clinical data of acute appendicitis in elderly undergoing surgical therapy between January 1994 and November 2008 was analyzed retrospectively, and predisposing factors, diagnostic meth-ods, therapeutic effect of operation and prognosis were studied. Results Acute appendicitis in elderly was diagnosed in 276 cases(114 female/162 male). There were 7 cases of deaths. MoRality was 2.5% (7/276). Stitches were taken out from 6 to 8 days after operation. Average stay was 8 days. 196 cases(71.0%) of wound healing at grade A, 43 cases(15.6%) at grade B ,37 cases(13.4%) at grade C. 86 cases(31.2%) with perforated acute appendici-tis, and 7 cases(2.5%) with periappendiceal abscess were confirmed after operation. 76 cases auompanied with con-comitant diseases, 87 cases auompanied with postoperative early complications, and 39 cases(14.1%) with postop-erative wound or intra-abdominal septic complications. Conclusion Key point of improvement of operative therapeu-tic effect and prognosis of acute appendicitis in elderly are early diagnosis, operation in time, and effective treatment of associated diseases and complications.
