摘要
目的 总结老年肝胆管结石的临床特点、治疗方法。方法 对１９８９－０９～２００１－０７收治的６０岁以上老年胆胆管结石患者１２２例进行回顾性分析，分析其手术时机、术式选择及围手术期处理，结果１２２例患者中，１１４例治愈，发生并发症２５例，死亡８例，均死于术后并发症及多器官功能衰竭（ＭＳＯＦ）。结论 老年肝胆管结石病情进展快，因此强化围手术期处理，预防感染，早期手术，力求简单有效术式。处理并存病和防治多器官功能衰竭是提高治愈率、降低并发症及死亡率的关键。
Objective To evaluate the clinical features and the method of treatment for hepatolithiasis in aged patients. Methods Authors studied retrospectively the clinical features of the 122 patients with hepatolithiasis who was more than 60 years and treated from September 1989 to July 2001 ,and analyzed the proper time for operation and appropriate operative type and perioperative management. Results Among the 122 patients. 114 recovered, 2.5 associated with complications, 8 died of the multiple system organic failures(MSOF) or postoperative complication. Conclusion The Conditions of the aged patients with hepatolithiasis develop rapidly ,thus the treatment of the disease in perioperative times should be consolidated, including antibiotic therapy; operation should be performed early with the effective but simple operation-type. To deal with the complications and prevent MSOF are the key to reducing the died rate and complication.
出处
《实用医药杂志》
2002年第3期161-163,共3页
Practical Journal of Medicine & Pharmacy
