老年急性化脓性胆囊炎的诊断和治疗进展  

Advances in diagnosis and treatment of acute suppurative cholecystitis in the elderly

作　　者：高添铭 蒋国庆 丁向民 Gao Tianming;Jiang Guoqing;Ding Xiangmin(Department of Hepatobiliary Surgery,Clinical Medical College of Yangzhou University,Yangzhou 225001,China)

机构地区：[1]扬州大学临床医学院肝胆外科,扬州225001

出　　处：《国际外科学杂志》2022年第12期832-835,共4页International Journal of Surgery

摘　　要：急性化脓性胆囊炎是较为复杂的普外科急腹症,高发于中老年群体。随着生活水平的提高以及人口逐渐向老龄化发展,该病的发生率呈逐年上升趋势。老年患者具有一定的临床特殊性,就诊时多合并心脑血管疾病或其他基础疾病,因此在患者治疗时应针对不同情况实施特异性方案,同时进行较为完善的风险评估。老年急性化脓性胆囊炎首选治疗方式为手术治疗,但对于一般情况差或不可耐受手术的患者,先行胆囊引流术或许是一个不错的替代方案。本文就老年急性化脓性胆囊炎的临床特点、诊断方式以及治疗方法作一综述。Acute suppurative cholecystitis is a complex acute abdomen in general surgery,which usually occurs in middle-aged and elderly people.With the improvement of living standards and the aging of the population,the incidence of the disease is increasing year by year.Elderly patients have certain clinical particularities,and they are often combined with other underlying diseases such as cardiovascular and cerebrovascular diseases.Therefore,specific programs should be implemented for different situations during patient treatment,and a more complete risk assessment should be carried out.The preferred treatment for acute suppurative cholecystitis is surgery,but for patients with poor general conditions or intolerable surgery,percutaneous transhepatic gallbladder drainage may be a good alternative.This article reviews the clinical characteristics,diagnosis and treatment of acute suppurative cholecystitis in the elderly.

关 键 词：老年人 胆囊炎 急性 诊断 治疗进展 

分 类 号：R657.41[医药卫生—外科学]