摘要
目的 探讨高龄急性胆囊炎患者治疗方法及手术时机。方法 回顾性分析 73例高龄急性胆囊炎患者的临床特点和不同治疗方法对其预后影响。 结果 死亡 6例 ,均为急诊手术者 ,限期手术无死亡。 结论 并存病是引起死亡的高危因素 ,对伴有并存病的高龄急性胆囊炎患者 ,应首先考虑经皮肝胆囊置管引流 ,等病情稳定、并存病改善后 ,限期手术 ;
Objective To explore the surgical treatment way and operating moment of the elderly patients with acute cholecystitis.Methods It was retrospectively analysed for the clinical characteristics,different treatment way and prognosis factors of 73 elderly patients with acute cholecystits.Results The dead patients wre 6 cases with emergency treatment;The survived patients were 67 cases with the time limit operation.Conclusion The compound disease is a high risk factor for death.when patients condition and compound disease are improving,the advanced aged patients with acute cholecystitis first are underwent opeeration by percutaneous transhepatic gallbladder catheterizing drainage(PTGCD);later the patient is operated within a definite time.Other patients with compication or non compound disease are emergency operated.
出处
《肝胆外科杂志》
2002年第1期25-26,共2页
Journal of Hepatobiliary Surgery
关键词
胆囊炎
高龄
治疗
外科手术
Acute cholecysitis
Advanced Aged patients
Surgical Treatment
