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目的探讨老年人急性胆囊炎的临床特点。方法对我院1999年1月至2007年12月经手术治疗的69例老年人急性胆囊炎的临床资料进行回顾性分析。结果 69例患者治愈65例,好转3例,死亡1例。术后出现切口感染、脂肪液化、电解质紊乱、粘连性肠梗阻及肺部感染等并发症。结论根据病情及老年人对急诊胆囊手术的耐受力,早期实施手术是处理老年人急性胆囊炎的关键,正确掌握手术时机,选择合理的手术方式可有效防治术后并发症的发生并降低死亡率。
Objective To investigate the clinical features of acute cholecystitis in the elderly. Methods The clinical data of 69 elderly patients with acute cholecystitis treated surgically from January 1999 to December 2007 in our hospital were analyzed retrospectively. Results 69 patients were cured 65 cases, 3 cases of improvement, 1 case of death. Postoperative incision infection, fat liquefaction, electrolyte imbalance, adhesive intestinal obstruction and pulmonary infection and other complications. Conclusion According to the condition and the tolerance to emergency gallbladder surgery in the elderly, early operation is the key to the treatment of acute cholecystitis in the elderly. To correctly grasp the timing of operation and select a reasonable operation can effectively prevent postoperative complications and reduce death rate.