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目的：探讨老年阑尾炎的临床诊疗体会。方法：回顾性分析2003年1月～2013年1月期间我科收治的92例年龄在61～95岁老年阑尾炎患者病历资料。结果：92例患者，均行手术治疗，其中3例手术病人死亡，死亡病人年龄均大于85岁，就诊时病程均已超过3天，并均合并其他内科基础疾病。结论：老年阑尾炎早期症状体征不明显，高龄、延误就诊及合并基础疾病是其重要的危险因素，必须早期诊断，早期手术。“,” Objective :To discuss the clinical therapeutic experience of senile appendicitis .Methods :Retrospectively analyze the medical records of 92 patients between the age of 61 and 95 who suffered from senile appendicitis .Those patients were treated in our department from January 2003 to January 2013 .Results :All of the 92 patients received operative treatment ,and 3 patients died of postoperative complica-tions .All of the three patients were over 85 years old ,and their courses of disease exceeded 3 days when they saw the doctor .What’s more , they all have other underlying internal medicine complications .Conclusions :The senile appendicitis didn’t indicate obvious signs and symp-toms in early stage .Advanced age ,delay in treatment ,and combination with other underlying diseases were crucial risk factors of the dis-ease ,so it is of vital importance to diagnose the disease and operate in early stage .