31例老年胆囊穿孔的临床分析

Analysis of the gallbladder perforation in 31 aged patients

目的:提高老年胆囊穿孔的诊治水平,减少其误诊、漏诊及并发症的发生。方法:回顾性分析了31例老年胆囊穿孔的诊断、治疗及结果。结果:①老年患者临床表现不典型,伴发病较多;②穿孔发生率和误诊率高(29.0%);③有腹膜刺激征者,及时作诊断性腹穿,有胆汁性腹水是诊断本病的重要依据;④B超对胆囊穿孔有较高的检出率(74.2%),有重要诊断价值。结论:早期、合理的手术治疗是治疗成败的关键。

Objective To improve the diagnosis and teatment of aged patients with gallbladden perforation.Methods Retrospective analysis of the diagnosis, treatment and outcome of 31 aged patients with gallbladden pertoration. Results ① Aged patients had no classical manifestation and had more complieation;②The rate of perforation and its misdianosis were high （29.0%） ;③Diagnostic abdominal tapping should be performed for those who shoum signs of peritoneal irritation and a bile - stained fluid is diagnostic ; ④B - Ulrtasoun gave higher positive detective rate （74.2 % ） ; and was of greater value. Conclusion The key of successful treatment lies in earty and proper operation.