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目的:分析老年急性胆囊炎外科治疗在基层医院中的相关经验。方法:收集我院2011年11月-2013年11月期间诊治的老年急性胆囊炎患者40例作为研究对象,采用回顾性的方式分析患者的临床资料,观察治疗效果,总结治疗经验。结果:研究结果显示,本组40例患者均通过急诊手术治疗,其中有22名患者为急性手术,另外18例为择期手术,手术类型均选择常规开腹胆囊切除术,其中有3名患者同时实施胆囊探查术;有39名患者治愈,治愈率为97.5%,另外1名患者好转,占总数的2.5%,有5名患者发生并发症,包括2例肺部感染、2例切口感染和1例电解质紊乱,有1例为择期手术,4例为急性手术,并发症发生率为12.5%。结论:对老年急性胆囊炎患者需要及时掌握患者的病情状况、体质状况、病理特点,综合选择正确的手术方式和手术时机,严格按照无菌操作规范,降低并发症发生率,提高手术成功率。
Objective: To analyze the related experience of surgical treatment of elderly acute cholecystitis in primary hospitals. Methods: Forty elderly patients with acute cholecystitis diagnosed and treated in our hospital from November 2011 to November 2013 were collected as the research object. The clinical data of the patients were analyzed retrospectively. The therapeutic effect was observed and the treatment experience was summarized. Results: The study showed that 40 patients in this group were treated by emergency surgery, of which 22 were acute surgery and the other 18 were elective surgery, the type of surgery were selected conventional open cholecystectomy, of which 3 patients at the same time Gallbladder exploration; 39 patients were cured, the cure rate was 97.5%, another patient improved, accounting for 2.5% of the total number of complications in 5 patients, including 2 cases of lung infection, 2 cases of incisional infection and 1 Electrolyte disorders, such as one case of elective surgery, 4 cases of acute surgery, the complication rate was 12.5%. Conclusion: The elderly patients with acute cholecystitis need timely grasp of the patient’s condition, physical condition, pathological features, comprehensive selection of the correct operation and timing of surgery, strictly in accordance with aseptic practices, reduce the incidence of complications and improve the success rate of surgery.