手术治疗老年重症急性胆管炎的临床研究  

Clinical study of senile acute cholangitis severe type in old man

作　　者：盛海云[1] 

机构地区：[1]惠州市人民医院肝胆外科,广东省惠州516001

出　　处：《中国基层医药》2008年第2期228-229,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨手术治疗老年重症急性胆管炎的可行性及疗效。方法对近20年来外科手术治疗的老年重症急性胆管炎患者进行回顾性分析。结果83例中死亡4例（5．0％），残留结石12例（15．0％）；长期随访：优良65例，占79．0％；一般11例，占14．0％；差7例，占9．0％。结论对老年重症急性胆管炎患者进行外科手术是可行的，同时应注意围手术期的治疗。Objective To explore the clinical study of surgical treatment of the senile acute cholangitis severe type in old person. Methods According to the relationship between the senile pathophysiologic characteristics and senile acute cholangitis severe type（ACST） ,83 patients were selected to the study. Results In operation group with which included 83 cases, 4 cases were died, the total mortality is 5.0 %. Rate of remnant stone is 15.0 %. Ulcer was healed in 79.0 %, significantly improved in 14.0 % and poor in 9.0 % of patients. Conclusion When conditions turned to be stable,operation should be done in time. The main causes of death of senile ACST are the delay of operation, severe complications and old man.

关 键 词：胆管炎 外科手术 老年人 

分 类 号：R657.4[医药卫生—外科学]