摘要
目的 探讨高龄老年急性无结石性胆囊炎（AAC）的临床特点及治疗.方法 对19例高龄老年急性无结石性胆囊炎患者的临床资料进行回顾性分析.结果 本组患者年龄72～88岁,平均77.2岁,患者均为高龄老年急性无结石性胆囊炎.13例患者合并心血管系统疾病的（68.42%）,9例合并呼吸系统疾病（47.36%）,6例合并糖尿病（31.57%）,3例脑血管意外后遗症（15.78%）.同时合并2种及2种以上疾病的患者有8例（42.10%）.15例患者行胆囊切除术,3例患者行胆囊大部分切除,1例行胆囊造瘘术,其中3例胆囊坏死、穿孔（15.78%）,均获得痊愈,无一例患者死亡.结论 高龄老年急性无结石性胆囊炎应在48 h内进行胆囊切除术,早期手术是防止胆囊穿孔、降低并发症和病死率的重要治疗措施.
Objective To investigate the clinical characteristics and treatment of acute acalculous cholecystitis （AAC）in the elderly. Methods Clinical materials of 19 AAC cases were retrospectively analyzed. Results This paper reported 19 cases of ACC in the elderly aged be- tween 72 to 88 years with a mean age of 77.2 years. There were co - existing systemic diseases of different degrees. Those of cardio - vascular sys- tem were hypertension, coronary heart disease, cardiac arrythmia（68.42% ） ; those of respiratory system were senile chronic bronchitis, emphysema （47.36%） ; there were 6 cases diabetes（31.57% ） ; 3 cases had sequelae of cerebral vascular accident（ 15.78% ） ; 8 cases（42. 10% ） had co - ex- isting diseases of two or more systems at the same time. Early cholecystectomy was performed in 15 cases, partial cholecystectomy in 3 cases and cholecystostomy in 1 case. Among them, three got necrosis and perforation of the gallbladder （15.78%）. There was no mortality even of a single case in these 19 patients. Conclusion To strive for early cholecystectomy is an important theapeutic measure to prevent perforation of gallbladder, to reduce complications and mortality.
出处
《安徽医学》
2013年第9期1341-1342,共2页
Anhui Medical Journal
