Vermeulen M I, van Vroonhoven T J, Leguit P
Rijksuniversiteit, vakgroep Huisartsgeneeskunde, Utrecht.
Ned Tijdschr Geneeskd. 1995 Aug 12;139(32):1635-8.
To determine the differences between acute appendicitis in younger and in older patients.
Retrospective study.
Utrecht University Hospital and Diakonessen Hospital Utrecht, the Netherlands.
All patients operated in the period 1989-1991 because acute appendicitis was suspected were included in this study. The patients were divided into two groups, one fifty years of age or older, one younger. Duration of symptoms, histology, closure or non-closure of the incision, complications and hospital stay were examined.
About ten percent of the patients were over fifty years of age (35/366). The duration of symptoms in this group was significantly longer. Appendix sana occurred less often in the elderly, perforated appendix more often. The wound was left open more often in the elderly, but they did not have more complications. Their hospital stay, however, was significantly longer.
The longer duration of symptoms and the higher rate of perforation justify a higher place of acute appendicitis in the differential diagnosis of acute abdomen in the elderly. The more serious course of the disease appears from the longer hospital stay.
确定年轻患者与老年患者急性阑尾炎之间的差异。
回顾性研究。
荷兰乌得勒支大学医院和乌得勒支迪亚科内森医院。
本研究纳入了1989年至1991年期间因疑似急性阑尾炎而接受手术的所有患者。患者被分为两组，一组年龄在50岁及以上，另一组年龄较小。对症状持续时间、组织学、切口闭合或未闭合情况、并发症及住院时间进行了检查。
约10%的患者年龄超过50岁（35/366）。该组患者的症状持续时间明显更长。老年人中阑尾正常的情况较少见，阑尾穿孔的情况更常见。老年人中伤口敞开的情况更常见，但他们并没有更多的并发症。然而，他们的住院时间明显更长。
症状持续时间较长以及穿孔率较高，说明在老年患者急腹症的鉴别诊断中，急性阑尾炎应占据更重要的位置。疾病的更严重进程从更长的住院时间中可见一斑。
