摘要
目的探讨老年急性胆囊炎的临床特点和外科治疗措施。方法回顾分析129例老年急性胆囊炎患者的临床资料。结果本组治愈122例,死亡7例。其中非手术急性胆囊炎症状缓解8例(6.2%),6例(4.6%)患者病情加重但家属拒绝手术最终死亡,非手术治疗病死率4.6%;手术治疗115例,治愈114例,手术治疗病死率0.77%。结论老年急性胆囊炎患者的病情进展快,因大多有其他合并症,治疗难度大,风险高。要高度重视外科治疗的时机和方法,应尽早手术治疗,同时要注意围手术期的处理。
Objective To study the clinical characteristics and surgical procedures of acute cholecystitis （AC） in the elderly and senile patients. Methods A total of 129 patients with AC were analyzed retrospectively. Results Out of 129 cases, 122 cases were cured of AC, 7 postoperative deaths occurred. The symptoms of 8 cases were alleviated by non-surgical treatment（6.2%）, the symptoms of 6 cases（4.6%） worsened due to the refusal of surgical treatment by their relatives, all died in the end, and the death rate of the patients treated non-surgically was 4.6%; 115 patients were treated surgically, 114 patients were cured, and the death rate of the patients treated surgically was 0.77%. Conclusions Pathological conditions of the elderly and senile patients worsen rapidly, in addition, most of them have complications, so the treatment of AC is difficult to some extent with higher risk. The time and methods of treating AC must be valued highly, the patients must be treated as early as possible, and the peri-operation should be emphasized.
出处
《安徽医学》
2011年第12期2029-2030,共2页
Anhui Medical Journal
关键词
老年
急性胆囊炎
外科治疗
Elderly and senile patients
Acute chlecystitis
Surgical treatment
