老年急性重症胆管炎的临床特点及救治

Clinical character and treatment of aged acute cholangitis of severe type.

目的探讨老年急性重症胆管炎的临床特点与治疗。方法回顾性分析52例60岁老年急性重症胆管炎患者的临床资料。结果52例中,手术组44例,治愈38例,死亡6例,非手术组8例,经保守治疗好转2例,死亡6例。结论认识老年急性重症胆管炎的临床特点,重视早期诊断、早期手术,并积极做好围手术期处理,采用合适的手术方法对降低老年急性重症胆管炎病人的死亡率有极重要的意义。

Objective To investigate the clinical character and the treatment of aged acute eholangitis of severe type. Methods Reviewing the clinical bata of 52 cases aged acute cholangitis of severe type. Results 38 patients were cured and 6 patients were dead in operation group ; 2 patients were cured and 6 patients were dead in un - operation group. Conclusion Aecoring to the clinical character of aged acute cholangitis of severe type,early diagnosis,early operation , full preparation and reasonable surgical methods were very important to reduce the rate of aged acute cholangitis of severe type .