老年急性胆囊炎138例治疗分析

• 作 者: 张松 冯艳
• 机 构: 河北秦皇岛市工人医院,
• 出 处: 中国误诊学杂志
• 发表日期: 2012年07期
• 关键词: 老年急性胆囊炎 胆囊炎/治疗 诊治特点 胆囊造瘘术 胆囊坏疽 胆囊 胆囊化脓 胆总管 胆囊炎患者 胆囊壶腹

目的探讨老年急性胆囊炎的诊治特点。方法回顾分析发病48h内就诊的138例老年急性胆囊炎患者临床资料。结果 138例老年急性胆囊炎患者72h内手术90例,治愈89例,死亡1例,治愈率98.8%,72h后手术24例,治愈20例,死亡4例,治愈率83.3%,保守治疗24例,成功16例,死亡8例,治愈率66.7%。结论老年急性胆囊炎患者宜争取早期行手术治疗,这样能最大限度挽救患者生命。

Objective To investigate the diagnosis and treatment of elderly acute cholecystitis. Methods The clinical data of 138 elderly patients with acute cholecystitis who were treated within 48 hours after onset were retrospectively analyzed. Results Of the 138 elderly patients with acute cholecystitis, 90 cases were cured within 72 hours, 89 cases were cured, 1 died, the cure rate was 98.8%, 24 cases were cured after 72 hours, 20 cases were cured and 4 died. The cure rate was 83.3%. Conservative treatment of 24 cases , 16 cases were successful, 8 died, the cure rate was 66.7%. Conclusion Elderly patients with acute cholecystitis should strive for early surgical treatment, so as to maximize the saving of patients’ lives.