Andersson A, Bergdahl L
Am Surg. 1978 Jul;44(7):445-7.
In an investigation of 68 consecutive patients over the 60 operated on for acute appendicitis in 1969--1972 the symptoms and signs did not differ notably from those in younger patients. However, the disease was more advanced in the elderly patients with perforation of the appendix in 49%. Postoperative complications occurred in about one third of the series, but were never fatal. Use of broad-spectrum antibiotics (ampicillin) is recommended. The investigation showed that it is possible to reduce the mortality from acute appendicitis in elderly patients to a level comparable to that in younger ones.
在一项针对1969年至1972年间连续68例接受急性阑尾炎手术的60岁以上患者的调查中，其症状和体征与年轻患者相比并无显著差异。然而，老年患者的病情更为严重，阑尾穿孔率达49%。约三分之一的患者出现术后并发症，但均无致命情况。建议使用广谱抗生素（氨苄青霉素）。该调查表明，有可能将老年急性阑尾炎患者的死亡率降低至与年轻患者相当的水平。
