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45例老年急性重症胆管炎诊治体会 被引量:1

Experiences in the diagnosis and treatment of acute obstructive suppurative cholangitis in the elderly
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摘要 老年急性重症胆管炎(AOSC)是老年人常见的严重胆道感染性疾病,发病急,进展快,多并发休克及多器官功能衰竭,死亡率高。本文根据45例老年AOSC有无加强围手术期处理分组,观察其对术中、术后影响,并进行对比分析,结果表明:加强围手术期处理组术后并发症、死亡率明显低于对照组(P<0.05)。说明加强围手术期处理不仅利于患者手术的顺利进行,减少手术危险性,且利于患者术后康复,防止严重并发症发生。 Acute obstructive suppurative cholangitis(AOSC) is a common but serious disease in the elderly patients. It attacks acutly and develops rapidly. It is often followed by shock and multiple organ failure and its mortality is high. In this paper, 45 cases of elderly AOSC patients were divided into two groups: one group received intensive perioperative treatment and the other not(control). The postoprative complicaltion and the effect of operation were compared. The results showed that the incidence of postoperation complication and mortality in the intensive perioperative treatment group were greatly lower than in the control group( P <0 05). The results suggested that intensive perioperative treatment not only decreases the operative risk but also benefits the postoprative recovery and prevents serious complications.
作者 薛建国 王宇
出处 《实用老年医学》 CAS 1996年第2期69-70,共2页 Practical Geriatrics
关键词 胆管炎 围手术期处理 多器官衰竭 诊断 治疗 Acute obstructive suppurative cholangitis Perioperative treatment Multiple organ failure
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  • 1黄志强.肝胆管结石专题讨论会纪要[J].中华外科杂志,1983,21(6):372-372.

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