老年急重症胆管炎临床分析

Clinical Analysis of Senile Severe Cholangitis

目的 探讨重症胆管炎 (ACST)患者的临床特点及死亡原因。 方法 分析我院近十五年来收治4 6例ACST的治疗情况。 结果 手术 4 1例 ,非手术 5例 ,死亡 9例 ,其中手术治疗死亡 6例。 结论 老年ACST患者 ,伴发病多 ,死亡率高 ,及时就诊 ,早期应用大量激素 ,选择适宜手术方法是降低死亡率的关键。

Objective explore clinical characteristics and death reason of ACST.Methods analyze treatment of 46 cases in recent 15 years.Results operation 41 cases,nonoperation 5 cases,death 9 cases,among which operation treatment death 6 cases.Conclusions senile patients with ACST have much complications,a high mortality,so the keys of decreasing mortality are timely seeing doctor,enhancing perioperation treatment,early application of hormone,choosing proper operation method.