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一位86岁患者的急性阑尾炎:常见疾病的罕见发病年龄。

Acute Appendicitis in an 86-Year-Old Patient: Uncommon Age for a Common Disease.

作者信息

Almusaylim Moayad S, Foula Mohammed S, Al Amin Jawad F, Al-Abbad Mohammad A, Alsaleh Mustafa A

机构信息

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Surgery, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

出版信息

Cureus. 2024 Feb 26;16(2):e54957. doi: 10.7759/cureus.54957. eCollection 2024 Feb.

DOI:10.7759/cureus.54957
PMID:38544635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10970590/
Abstract

Appendicitis, an inflammation of the vermiform appendix, is one of the most common causes of acute abdomen and one of the most frequent indications for emergency abdominal surgery worldwide. Any person older than 65 years old is considered elderly. The elderly population constitutes only 5-10% of total appendicitis cases. The symptoms depend on the location of the appendix. Generally, lower abdominal pain and anorexia are known to be the most common symptoms of appendicitis. Although young adults have a higher prevalence of appendicitis, the elderly have a higher complication rate, 37.5% versus 43.97%. In this article, we report a case of appendicitis in an 86-year-old gentleman known to have type 2 diabetes mellitus, hypertension, and prostate cancer. The patient was managed successfully after a complicated hospital course and discharged in an improved and stable condition.

摘要

阑尾炎是阑尾的炎症,是全球急性腹痛最常见的病因之一,也是急诊腹部手术最常见的指征之一。任何65岁以上的人都被视为老年人。老年人群仅占阑尾炎病例总数的5%-10%。症状取决于阑尾的位置。一般来说,下腹疼痛和厌食是已知的阑尾炎最常见症状。虽然年轻人阑尾炎的患病率较高,但老年人的并发症发生率更高,分别为37.5%和43.97%。在本文中,我们报告了一例86岁男性阑尾炎病例,该患者患有2型糖尿病、高血压和前列腺癌。经过复杂的住院治疗后,患者成功治愈,出院时病情好转且稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ed/10970590/9f1ba5dbffbb/cureus-0016-00000054957-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ed/10970590/80cb9e54066a/cureus-0016-00000054957-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ed/10970590/9f1ba5dbffbb/cureus-0016-00000054957-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ed/10970590/80cb9e54066a/cureus-0016-00000054957-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ed/10970590/9f1ba5dbffbb/cureus-0016-00000054957-i02.jpg

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2
Relationship between Degree of Dependency and Hospitalization Time of Surgical Patients.手术患者的依赖程度与住院时间的关系。
Invest Educ Enferm. 2023 Feb;41(1). doi: 10.17533/udea.iee.v41n1e10.
3
An Occlusive Form of Acute Gangrenous Appendicitis With Periappendicular Abscess in an Elderly Patient: A Case Report and Literature Review.
一名老年患者的急性坏疽性阑尾炎伴阑尾周围脓肿的闭塞形式:病例报告及文献综述
Cureus. 2023 Mar 16;15(3):e36213. doi: 10.7759/cureus.36213. eCollection 2023 Mar.
4
Atypical Appendicitis in the Elderly.老年人的非典型阑尾炎
Cureus. 2022 Feb 22;14(2):e22495. doi: 10.7759/cureus.22495. eCollection 2022 Feb.
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Acute Appendicitis in the Elderly: A Literature Review on an Increasingly Frequent Surgical Problem.老年人急性阑尾炎:关于一个日益常见的外科问题的文献综述
Geriatrics (Basel). 2021 Sep 18;6(3):93. doi: 10.3390/geriatrics6030093.
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Korean J Gastroenterol. 2021 Aug 25;78(2):134-137. doi: 10.4166/kjg.2021.063.
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Acute Appendicitis Associated with Hantaan Virus Infection.与汉坦病毒感染相关的急性阑尾炎。
Am J Trop Med Hyg. 2021 Jul 6;105(3):801-806. doi: 10.4269/ajtmh.20-1468.
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Acta Med Okayama. 2021 Jun;75(3):385-389. doi: 10.18926/AMO/62235.
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Abdominal aortic aneurysm and acute appendicitis: a case report and review of the literature.腹主动脉瘤和急性阑尾炎:病例报告及文献复习。
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