治疗老年人急性阑尾炎的体会  

Experience in the Treatment of Elderly Patients With Acute Appendicitis

作　　者：宋旭辉 

机构地区：[1]黑龙江省大庆市让胡路人民医院,163712

出　　处：《中国继续医学教育》2015年第6期98-99,共2页China Continuing Medical Education

摘　　要：目的研究分析临床中老年急性阑尾炎患者的治疗方法,对急性阑尾炎老年患者的临床表现进行总结分析,寻找导致误诊的原因,对临床治疗提供依据和参考。方法以我院接收的部分老年急性阑尾炎患者为例来进行探讨分析,对其临床治疗进行讨论。结果 28例老年性急性阑尾炎患者于手术前明确诊断的为9例,非第一诊断为14例,误诊于术中修正诊断的为5例。术中穿孔11例,占总数的39.29%。结论临床中老年急性阑尾炎患者的症状不典型,病程和病理变化之间不属于平行关系,患者基础疾病比较多,有比较高的几率出现穿孔现象,这是临床中误诊的主要原因。Objective To study the treatment of elderly patients with acute appendicitis analysis method in clinic, to conclude and analyze the clinical manifestations of acute appendicitis in senile patients, looking for the reason of misdiagnosis, provides the basis and reference for clinical treatment.MethodsTaking part in elderly patients with acute appendicitis patients in our hospital received as an example to analyze the clinical treatment, are discussed.Results28 cases of acute appendicitis in the elderly patients diagnosed before operation in 9 cases, 14 cases of non first diagnosed, misdiagnosed in operation for 5 patients with corrected diagnosis. 11 cases got perforation, which was accounting for 39.29%.ConclusionIn elderly patients with acute appendicitis clinical symptoms are not typical, belonging to the non parallel relationship between the course and pathological changes in patients with underlying diseases, more, there are more likely to appear the phenomenon of perforation, which is the main cause of clinical misdiagnosis.

关 键 词：老年性阑尾炎 临床诊治体会 

分 类 号：R516.1[医药卫生—内科学]