|
|
|
| The degree analysis of gerontal appendicitis patients’ condition |
| ZHANG Nan, and LI Peiyu. |
| Department of General Surgery, PLA General Hospital. Beiijng 100853, China |
|
|
|
|
Abstract Objective To explore and compare the incidence，diagnosis and treatment between gerontal pure acute appendicitis，acute abscessing and gangrene or perforation. Methods 79 cases above 70 years old were selected whose primary diagnosis was acute appendicitis in the past decade at our hospital . They were divided into two groups by the degree of inflammation to compare symptoms、signs、blood-text and examinations. Statistic analysis was conducted. Results In the 79 cases, 77 were cured by expectant treatment or surgical operations, those who received surgeries were conformed as appenditis by pathology. The other 2 patients were finally diagnosed as ileocecus tumor by pathology. Conclusions Many methods could be used for distinguishing the degree of inflammation, in which temperature increases, right lower part belly rebound tenderness and ultrasound examination were most important. The transfers right lower abdominal pain and the rise of blood-test could also be helpful for diagnoses. Attention should be paid to distinguishing the ileocecus tumor from appendicitis.
|
|
Received: 23 December 2011
|
|
|
|
|
|
| ［1］ |
李 荣，罗成华．老年人急腹症诊与剖腹探查［J］．中国实用外科杂志，2003，23(7)：402-403． ［2］ 吴肇汉.外科学［M］.7版.北京：人民卫生出版社，2002: 608-609. ［3］ 吴硕东，译．腹腔镜手术技术与技巧［M］．北京：人民卫生出版社，2006：100-110． ［4］ 杨 平，谯 松，黎洪昌，等．老年急性阑尾炎急诊手术85例疗效观察［J］．中国误诊学杂志，2005，5(15)：2878-2879． ［5］ 苗瑞政，刘乃青，姜言明．老年人右半结肠癌并存急性阑尾炎.的诊断和治疗［J］．中国老年学杂志，2006，26(1)：124-125． ［6］ 苏吉国．老年急性阑尾炎37例临床诊治分析［J］．中国现代药物应用，2009，3(21)：66-67． ［7］ 耿洪明.急性阑尾炎43例误诊原因分析［J］.中外医疗，2009，28（10）：41-42 ［8］ 郑殿东. 381例老年急性阑尾炎的诊断与治疗［J］.中国现代药应用,2009，3（2）：62-63. ［9］ 杨志强.少见病误诊为急性阑尾炎分析［J］.天津医药,2006，34(1)：56-57. ［10］ 岑 斌，黄胜英，赵小红，等．老年急性阑尾炎165例临床分析［J］．国际医药卫生导报，2005，11(14)：72-73.
|
| ［1］ |
李 荣，罗成华．老年人急腹症诊与剖腹探查［J］．中国实用外科杂志，2003，23(7)：402-403． ［2］ 吴肇汉.外科学［M］.7版.北京：人民卫生出版社，2002: 608-609. ［3］ 吴硕东，译．腹腔镜手术技术与技巧［M］．北京：人民卫生出版社，2006：100-110． ［4］ 杨 平，谯 松，黎洪昌，等．老年急性阑尾炎急诊手术85例疗效观察［J］．中国误诊学杂志，2005，5(15)：2878-2879． ［5］ 苗瑞政，刘乃青，姜言明．老年人右半结肠癌并存急性阑尾炎.的诊断和治疗［J］．中国老年学杂志，2006，26(1)：124-125． ［6］ 苏吉国．老年急性阑尾炎37例临床诊治分析［J］．中国现代药物应用，2009，3(21)：66-67． ［7］ 耿洪明.急性阑尾炎43例误诊原因分析［J］.中外医疗，2009，28（10）：41-42 ［8］ 郑殿东. 381例老年急性阑尾炎的诊断与治疗［J］.中国现代药应用,2009，3（2）：62-63. ［9］ 杨志强.少见病误诊为急性阑尾炎分析［J］.天津医药,2006，34(1)：56-57. ［10］ 岑 斌，黄胜英，赵小红，等．老年急性阑尾炎165例临床分析［J］．国际医药卫生导报，2005，11(14)：72-73.
|
|
|
|
