中西医结合治疗老年急性梗阻性化脓性胆管炎

Treatment of senile acute obstructive suppurative cholangitis with integrated traditional Chinese and western medicine

目的：探讨提高老年重症胆管炎治愈率的有效方法。方法：对４１例老年急性梗阻性化脓性胆管炎患者，中医用中药内服或保留灌肠，金黄散外敷右上腹，并配以针刺治疗；西医予抗感染，抗休克，胃肠减压和禁食等。结果：治愈率为９０．２４％，病死率为９．７６％，急症手术率为２９．２７％。结论：中西医结合治疗老年重症胆管炎，明显提高了择期手术率和治愈率，且降低了急症手术率、病死率和二次手术率，对术后恢复、预防及降低并发症与合并症，均有较好疗效。

Objective:To explore the effective way for treating senile acute serious cholangitis.Methods:Fortyone cases of senile acute obstructive suppurative cholangitis were treated with Chinese drugs for internal or external application,retention enema,acupuncture and combined use to antiinfection,antishock,reducing pressure in stomach and intestine etc.Results:The curative rate was 9024%,mortality was 976% and emergency operation rate was 2927%.Conclusions:Integrated traditional Chinese and western medicine treatment can increase the selective period of operation and curative rate,moreover,it can decrease the emergency operation rate and mortality,so it has better therapeutic efficacy on restore postoperation and preventing complication.