老年糖尿病患者并发急性阑尾炎的临床资料分析(1)
[摘要] 目的 探讨老年糖尿病并发急性阑尾炎患者的临床特点、治疗措施和治疗效果。 方法 随机选取该院2010年以来收治的50例老年糖尿病并发急性阑尾炎患者为研究对象，加强围术期血糖管理，采用单纯行阑尾炎切除术、阑尾周围脓肿切开引流术和阑尾切除联合腹腔引流术进行手术治疗。 结果 所有患者经过上述方案治疗后，血糖值均控制在理想范围内。有8例患者出现不同部位的感染，经过积极对症治疗均痊愈出院。其中，42例患者按期痊愈；有4例患者出现肺部感染，经过积极的抗感染和解痉祛痰等对症治疗措施后，症状好转痊愈；有3例患者切口部位皮肤出现发红等轻度感染现象，经过换药、抗感染治疗后好转痊愈；有1例患者出现泌尿系统感染，加用喹诺酮类抗菌药物治疗后痊愈。 结论 老年糖尿病合并阑尾炎患者具有独特的临床特点，阑尾炎穿孔和坏疽率较高，应该早诊断、早治疗，尽可能降低并发症的发生率。
[关键词] 糖尿病；阑尾炎；临床分析
[中图分类号] R587 [文献标识码] A [文章编号] 1672-4062(2016)01(b)-0103-03
Clinical Data Analysis of Elderly Diabetic Patients Complicated with Acute Appendicitis
TIAN Jun-tao
Department of Surgery，the First People's Hospital in the City，Da'an，Jilin Province，131300 China
[Abstract] Objective To investigate the clinical characteristics ， treatment and therapeutic effect of senile diabetic patients complicated with acute appendicitis. Methods I randomly selected 50 cases of hospital since 2010 elderly diabetic patients with acute appendicitis admitted for the study， strengthening perioperative glucose management， the use of simple line appendicitis surgery， appendix abscess incision and drainage and appendectomy performed intraperitoneal drainage surgery. Results All patients after the above regimen， blood glucose levels are controlled within the desired range. There are eight cases of patients in different parts of the infection， after active symptomatic treatment were cured. Among them， 42 patients recovered on schedule； there are four cases of patients with pulmonary infection after aggressive anti-inflammatory and antispasmodic expectorant symptomatic treatment， the symptoms improved， cured； three patients the incision site and other mild skin redness infection phenomenon， after dressing， after anti-infective therapy improved recovery； there is one case of patients with urinary tract infections， plus quinolone recovered after treatment. Conclusion Elderly diabetic patients with appendicitis patient has unique clinical features， a higher rate of appendicitis perforation and gangrene， should early diagnosis， early treatment， to minimize the incidence of complications.
[Key words] Diabetes mellitus；Acute appendicitis；Clinical analysis
糖尿病和急性阑尾炎均是临床实践中的常见病和多发病。对于老年糖尿病患者来说，由于机体免疫能力和抵抗力相对较低[1]，具有相对较高的并发急性阑尾炎的几率。两病合并患者如果没有得到及时诊断和治疗，病情可能进一步恶化，不利于术后恢复，严重者可能引发死亡[2]。为此，该研究随机选取该院2010年以来收治的50例老年糖尿病并发急性阑尾炎患者为研究对象，通过回顾分析其临床资料，探讨此类患者的临床特点、治疗措施和治疗效果，现报道如下。
1 资料与方法
1.1 一般资料
随机选取该院2010年以来收治的50例老年糖尿病并发急性阑尾炎患者为研究对象，患者均符合有关糖尿病[2]和急性阑尾炎[3]的诊断标准。, 百拇医药(田俊涛)
[关键词] 糖尿病；阑尾炎；临床分析
[中图分类号] R587 [文献标识码] A [文章编号] 1672-4062(2016)01(b)-0103-03
Clinical Data Analysis of Elderly Diabetic Patients Complicated with Acute Appendicitis
TIAN Jun-tao
Department of Surgery，the First People's Hospital in the City，Da'an，Jilin Province，131300 China
[Abstract] Objective To investigate the clinical characteristics ， treatment and therapeutic effect of senile diabetic patients complicated with acute appendicitis. Methods I randomly selected 50 cases of hospital since 2010 elderly diabetic patients with acute appendicitis admitted for the study， strengthening perioperative glucose management， the use of simple line appendicitis surgery， appendix abscess incision and drainage and appendectomy performed intraperitoneal drainage surgery. Results All patients after the above regimen， blood glucose levels are controlled within the desired range. There are eight cases of patients in different parts of the infection， after active symptomatic treatment were cured. Among them， 42 patients recovered on schedule； there are four cases of patients with pulmonary infection after aggressive anti-inflammatory and antispasmodic expectorant symptomatic treatment， the symptoms improved， cured； three patients the incision site and other mild skin redness infection phenomenon， after dressing， after anti-infective therapy improved recovery； there is one case of patients with urinary tract infections， plus quinolone recovered after treatment. Conclusion Elderly diabetic patients with appendicitis patient has unique clinical features， a higher rate of appendicitis perforation and gangrene， should early diagnosis， early treatment， to minimize the incidence of complications.
[Key words] Diabetes mellitus；Acute appendicitis；Clinical analysis
糖尿病和急性阑尾炎均是临床实践中的常见病和多发病。对于老年糖尿病患者来说，由于机体免疫能力和抵抗力相对较低[1]，具有相对较高的并发急性阑尾炎的几率。两病合并患者如果没有得到及时诊断和治疗，病情可能进一步恶化，不利于术后恢复，严重者可能引发死亡[2]。为此，该研究随机选取该院2010年以来收治的50例老年糖尿病并发急性阑尾炎患者为研究对象，通过回顾分析其临床资料，探讨此类患者的临床特点、治疗措施和治疗效果，现报道如下。
1 资料与方法
1.1 一般资料
随机选取该院2010年以来收治的50例老年糖尿病并发急性阑尾炎患者为研究对象，患者均符合有关糖尿病[2]和急性阑尾炎[3]的诊断标准。, 百拇医药(田俊涛)