Is it dangerous for a 90-year-old to have appendicitis and suppuration?

90-year-olds have a higher risk of appendicitis becoming purulent and need to seek medical attention in time for anti-infection treatment and surgical intervention. Purulent appendicitis may cause serious complications such as peritonitis and sepsis, which is particularly threatening to elderly patients. Treatments include antibiotics to control infection, surgical removal of the appendix, and postoperative care support.

1. The dangers of purulent appendicitis to 90-year-olds are mainly reflected in many aspects. Elderly patients often have underlying diseases, such as cardiovascular disease, diabetes, etc., which may aggravate the condition. The immune system function is weakened, and the infection is more likely to spread. The surgical tolerance is poor, and the anesthesia risk is increased. The incidence of complications is high, such as abdominal abscesses and intestinal obstruction.

2. Seeking medical attention promptly is the first measure. If you have symptoms such as abdominal pain and fever, you should see a doctor immediately. The doctor will perform a physical examination, blood tests, and imaging tests to confirm the diagnosis. An individualized treatment plan will be developed based on the severity of the disease. For elderly patients, multidisciplinary collaboration may be required, including surgery, anesthesiology, and critical care medicine.

3. Antibiotic treatment is the key to controlling infection. Commonly used drugs include cephalosporins, penicillins and metronidazole. Adjust medication according to the results of bacterial culture and drug sensitivity tests. Closely monitor liver and kidney function during treatment to prevent adverse drug reactions. For infections with drug-resistant bacteria, higher-level antibiotics may be required.

4. Surgical treatment is an effective method for radical treatment of suppurative appendicitis. Both traditional laparotomy and laparoscopic surgery are available. The surgical method should be determined according to the specific situation of the patient. Preoperative evaluation includes cardiopulmonary function, coagulation function, etc. Vital signs should be closely monitored during the operation to prevent complications. Postoperative care should be strengthened to prevent infection and thrombosis.

5. Postoperative care is particularly important for elderly patients. This includes pain management, nutritional support, and prevention of pressure sores. Early bed rest helps prevent lung infection and deep vein thrombosis. Regularly review blood routine, liver and kidney function, and other indicators. Pay attention to wound healing and handle abnormalities in a timely manner.

6. Preventing complications is an important part of the treatment process. Closely monitor vital signs such as body temperature, blood pressure, and heart rate. Be alert to the occurrence of complications such as peritonitis and intestinal obstruction. For patients with underlying diseases, corresponding treatment is required at the same time. Strengthen nutritional support to improve the body's resistance.

Appendicitis in the 90-year-old is at high risk of suppuration and requires prompt medical treatment for anti-infection treatment and surgical intervention. During treatment, the condition should be closely monitored to prevent complications. Individualized treatment plans and multidisciplinary collaboration are essential for elderly patients. With timely and effective treatment, most patients can achieve a good prognosis.