老年结石性急性胆囊炎临床分析  

Clinical Analysis of Acute Cholecystitis in Elderly Stones

作　　者：佟静 

机构地区：[1]黑龙江省哈尔滨市省青年农场职工医院,150000

出　　处：《中国卫生标准管理》2015年第8期103-104,共2页China Health Standard Management

摘　　要：目的对老年结石性急性胆囊炎的临床治疗进行探讨分析。方法回顾分析我院收治的42例老年结石性急性胆囊炎的临床治疗资料,分析临床治疗处理情况。结果本组患者均接受开腹腔检查,术中发现胆囊坏疽17例,均接受了不同类型的手术治疗,包括胆囊切除术、胆囊造瘘及胆囊部分切除及取石。痊愈患者有38例;术后有4例出现不同类型的并发症,均得到及时的治疗和处理,未出现死亡病例。结论对于老年结石性急性胆囊炎患者的临床治疗,应该根据患者的实际情况给予个体化治疗方案,做好开腹腔探查,加强围手术期间的护理和治疗,严控感染,以降低并发症发生率,确保良好的疗效。Objective To analyze the clinical treatment on elderly patients with acute calculous cholecystitis.Methods A retrospective clinical data analysis of 42 patients in our hospital in elderly patients with acute calculous cholecystitis, clinical treatment analysis of treatment.Results In the group of patients underwent open service cavity examination,gallbladder gangrene in 17 cases were found during the operation, underwent operation treatment of different types,including cholecystectomy,gallbladder fistula and partial cholecystectomy and stone, and the patient cured 38 cases; 9 cases of postoperative complications appeared different types,are get treatment and timely treatment,and no deaths.ConclusionFor clinical treatment of elderly patients with acute cholecystitis with gallstone,should give the individualized treatment according to the actual situation of patients. Strengthening nursing and treatment of peri operation period,strict control of infection,would reduce the incidence of complications,ensure good curative effect.

关 键 词：老年 结石 急性胆囊炎 

分 类 号：R574[医药卫生—消化系统]