期刊文献+

98例老年急性胆囊炎临床特点分析 被引量:12

Analysis of clinical characteristics of acute cholecystitis in 98 elderly patients
下载PDF
导出
摘要 目的总结诊治老年人急性胆囊炎的临床经验,以提高对老年人急性胆囊炎的认识和重视。方法回顾性分析近10年来收治的急性胆囊炎中60岁以上患者98例临床资料。结果 98例中急性结石性胆囊炎92例,急性非结石性胆囊炎6例;30例急诊手术,45例早期手术,17例择期手术,6例内科保守治疗,死亡2例(2.04%)。结论根据老年患者的临床特点,应采取以手术为主的综合治疗措施,选择恰当的手术时机、手术方式,并加强围手术处理,以降低病死率。 Objective To summarize the clinical diagnosis and treatment experiences for senile acute cholecystitis patients and improve the knowledge about it. Methods The clinical data of 98 elderly acute cholecystitis patients (age≥60) in recent ten years were retrospectively analyzed. Results Among 98 case ,the actue calculous cholecystitis in 92 cases , the acute acalculous cholecystitis in 6 cases ;30 cases were emergently operated,45 cases by early operations, 17 cases by late operations,6 cases by expentant treatment. 2 cases death (2. 04% ). Conclusion According to clinical character, active comprehensive treatment should be chosen, which mainly depends on operations, select timing and way appropriately and strengthen perioperative cases, can degrade case fatality.
出处 《肝胆外科杂志》 2013年第1期46-48,共3页 Journal of Hepatobiliary Surgery
关键词 老年人 急性胆囊炎 临床诊治 elderly patient acute cholecystitis clinical diagnosis and treatment
  • 相关文献

参考文献9

二级参考文献20

  • 1张建国,师恩惠,李佳,周东航.老年人结石性胆囊炎的外科治疗(附107例临床总结)[J].中华肝胆外科杂志,1998,4(2):120-122. 被引量:7
  • 2石景森.老年人胆石病的治疗[J].普外临床,1994,9(4):212-213. 被引量:24
  • 3邱辉忠,钟守先.老年人胆囊炎胆石症(附105例临床分析)[J].中华老年医学杂志,1994,13(4):215-217. 被引量:36
  • 4Scherpereel PA,Tavernier B.Perioperative care of diabetic patients[J].Eur J Anaesthesiol,2001,18(5):277-294.
  • 5Wallace TM,Matthews DR.Recent advances in the monitoring and management of diabetic ketoacidosis[J].Q J Med,2004,97(12):773-780.
  • 6Graham GW,Unger BP,Coursin DB.Perioperative Management of Selected Endocrine Disorders[J].Int Anesthesiol Clin,2000,38(4):31-67.
  • 7Hirsch IB,Paauw DS.Diabetes management in special situations[J].Endocrinol Metab Clin North Am,1997,26(3):631-645.
  • 8Jacober SJ,Sowers JR.An update on perioperative Management of Diabetes[J].Arch Intern Med,1999,159(20):2405-2411.
  • 9Glister BC,Vigersky RA.Perioperative management of type 1 diabetes mellitus[J].Endocrinol Metab Clin North Am,2003,32(2):411-436.
  • 10Coursin DB,Connery LE,Ketzler JT.Perioperative diabetic and hyperglycemic management issues[J].Crit Care Med,2004,32(4 Suppl):116-125.

共引文献222

同被引文献76

引证文献12

二级引证文献47

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部