老年重症急性胆管炎46例临床分析  

Clinical analysis of 46 aged patients with acute cholangitis of severe type

作　　者：周正武[1] 孙华健[1] 王成器[1] 

机构地区：[1]安徽省六安市人民医院外科,237000

出　　处：《蚌埠医学院学报》2004年第5期407-409,共3页Journal of Bengbu Medical College

摘　　要：目的 :探讨老年重症急性胆管炎 (acutecholangitisofseveretype,ACST)的临床特点及治疗方法。 方法 :对 1 994～ 2 0 0 3年收治的 4 6例老年ACST患者进行回顾性分析。结果 :全组死亡 1 2例 ,病死率 2 6 .1 % ,其中死于中毒性休克 7例 (5 8.3% ) ,器官功能衰竭 5例 (4 1 .7% )。结论 :老年ACST具有临床表现不典型、并存病多 ,易发生休克、电解质紊乱和器官功能衰竭等特点。外科治疗应做好必要的术前准备 ,选择适当的手术时机和手术方式 ,加强术后管理等。Objective:To explore the clinical features and methods for treatment of acute cholangitis of severe type(ACST) in the aged.Methods:Forty six aged patients with ACST treated in our hospital from 1994 to 2003 were analyzed retrospectively.Results:Twelve patients died,with a mortality of 26.1%,7 of whom died of toxic shock(58.3%) and 5 died of multiple organ failure( 41.7 %).Conclusions:The ACST in the aged patients has the characteristics of lack of typical clinical manifestations,more coexisting diseases, toxic shock,electrolyte disturbance and multiple organ failure.Good pre operative preparations,choice of operation time and procedure,good postoperative management are the key to the success of the operation.

关 键 词：胆管炎 老年病学 外科手术 

分 类 号：R575.61[医药卫生—消化系统] R592[医药卫生—内科学]