Acute appendicitis is a common abdominal diseases in all types of surgical patients in acute abdomen of the first. Acute appendicitis at the beginning of a navel or around the upper abdominal pain, as paroxysmal Duntong, gradually worsened, this time because of abdominal pain and inflammation invade appendicitis submucosa, visceral nerve stimulation, patients sometimes difficult to tell the exact location of pain The few hours later, transferred to the right lower quadrant abdominal pain, and was persistent pain (also a patient, beginning in the right lower abdominal pain). Inspection right abdominal tenderness, and anti-Tiaotong and muscle tension, accompanied by nausea, vomiting, fever (late), and leukocyte counts increased, and so. Appendicitis developed to the extent of, there will be "purulent appendectomy," "perforated appendix," thus appendectomy mass or peritonitis. Conventional treatment of the non-surgical therapy and surgical therapy two. Non-surgical treatments to major in the early acute appendicitis simple, light non-suppurative appendicitis, such as internal medicine, the local application of traditional Chinese medicine, acupuncture, intravenous or intramuscular injection of antibiotics; any clinical symptoms of acute appendicitis serious, necrosis, perforation dangerous, generally considered surgery. Over the age of 60 as elderly patients with acute appendicitis, due to old age and poor body reaction, therefore, symptoms and signs are often not typical, despite signs that is light, but the pathological changes heavier, not more severe abdominal pain patients, the pain is not fixed, transfer of the right lower abdominal pain often not obvious, perforation rate than young high fatality rate than the average person 3 to 5 times higher, larger threat to the elderly. Treatment of acute appendicitis principle also applies to the elderly, and for the elderly, children, as well as acupuncture, Chinese medicine condition did not improve after treatment should be timely to surgery. However, in view of the elderly low tolerance surgery, but also many other chronic diseases, such as coronary heart disease, hypertension, etc., should be weighed before the surgery and physical operation programmes, the choice of anesthesia, preoperative preparation, deliberate fully, and consider carefully the rear can be implemented. If a peacetime elderly abdominal pain, and even the relatively minor, can not be taken lightly, we must promptly went to the hospital to check for early diagnosis and prompt treatment.
