老年急性胆系感染外科诊治探讨  

Analysis of Geriatric Acute Chologenic Infection Treated by Surgery

作　　者：张武轩 李中立 吕行政 

机构地区：[1]汝阳县人民医院,汝阳县471200

出　　处：《医药论坛杂志》2006年第2期28-29,共2页Journal of Medical Forum

摘　　要：目的对老年急性胆系感染围手术期处理及其手术治疗原则进行探讨。方法回顾分析我院5年来经外科手术治疗的老年急性胆系感染59例的临床资料。结果59例中胆系结石50例,结石伴胆总管癌3例,胆管内蛔虫6例。本组全部进行手术治疗,治愈48例,好转3例,死亡8例,死亡率13.6%。结论老年急性胆系感染为一危重病患,保守治疗的病死率颇高,在现代医疗条件下,年龄非手术治疗禁忌症。针对老年特点,正确的围手术期处理,选择良好的手术时机,实施老年患者既适宜又能耐受的手术方式,积极治疗胆系外并存病及术后并发症,是提高老年急性胆系感染治愈率的根本所在。Objective To research how to deal with the geriatric acute chologenic infection and the operational treatment principles. Methods Reviewing the 59 cases of geriatric acute chologenie infection clinical data, treated by surgical operations in our hospital in the past five years. Results There were 50 cases of cholelithiasis,3 eases of calculi and carcinoma of bile duct, 6 cases of biliary aseariasis among the 59 cases. This group were all treated by operation. There were 48 cases cured, 3 eases relieved, 8 cases death and the death rate was 13.6%. Conclusion The geriatric acute ehologenic infection is grievous and the death rate by conservative treatment is high. Under the modem medical treatment conditions, age is not the key of operation treatment. Considering the characteristics of old man, proper coping before and during operation, good operation opportunity, suitable and endurable operation means. Positive treatment of the complication disease out of chologenic and after operation are the essence to raise the treatment rate of geriatric acute chologenic infection.

关 键 词：急性胆系感染 手术治疗 预后 

分 类 号：R657.4[医药卫生—外科学]