资源描述：
《老年急性胆囊炎临床治疗方式分析》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、老年急性胆囊炎临床治疗方式分析【摘要】日的探讨老年急性胆囊炎的临床特点及治疗方式。方法纳入老年急性胆囊炎患者175例，男71例，女104例;入院后均给予常规保守治疗，经非手术治疗胆囊炎症状未见缓解或加重，患者和(或)家屈同意者采取手术治疗。79例患者行手术治疗。分析保守治疗与手术治疗的临床疗效。结果本组治愈或临床缓解170例(97.1%),死亡5例。非手术治疗者96例，症状缓解53.1%(93例/175例)，非手术治疗者3.8%(3例/96例)死于多器官功能障碍综合征。手术治疗79例72h内行手术治疗74例均治愈,5例72h后采取手术治疗的患者,2
2、例(2.5%)死于多器官功能障碍综合征。手术组住院时间较保守治疗组短[(11.8±5.3),(15.9±6.l)d,P<0.05]o结论选择合理的治疗方式和手术时机，并注重围手术期处理，老年急性胆囊炎外科手术治疗是安全可行的。【关键词】老年人;急性胆囊炎;外科治疗AnalysisofClinicalTreatmentofElderlyPatientswithAcuteCholecystitisLUOZe-bin・DepartmentofSurgery,DafengHospital,ChaoyangDistrict,Shantou515100,Chi
3、na【Abstract]ObjectiveToinvestigatetheclinicalcharacteristicsofelderlypatientswithacutecholecystitisandtreatment.MethodsThepatientsineluded175casesofelderlypatientswithacutecholecystitis,71casesofmaleandfemale104cases;admittedtohospitalweretreatedwithconventionalconservativetre
4、atment,non-surgicaltreatmentofcholecystitisandnoeaseorworsenthesymptoms,thepatientand(or)familiesconsentedtotakesurgerytreatment.79patientsunderwentsurgery.Analysisofconservativetherapyandsurgicaltreatmentofclinicalefficacy.Results170casesofcureorclinicalremission(97.1%),5case
5、sdied.Non-surgicaltreatmentin96cases,reliefofsymptoms53.1%(93cases/175cases),non-surgicaltreatmentwere3.8%(3cases/96cases)diedofmultipleorgandysfunctionsyndrome.Surgicaltreatmentof79patientswithsurgicaltreatmentof72hexperts74caseswerecured,5casestakenafter72hinpatientstreatedw
6、ithsurgery,2cases(2.5%)diedofmultipleorgandysfunctionsyndrome.Operationgroup,lengthofstayshorterthantheconservativetreatmentgroup[(11.8±5.3),(15.9±6.l)d,P〈0・05]・ConclusionTheselectionofrationaltreatmentandsurgicaltiming,andfocusonperioperativemanagement,surgicaltreatmentofelde
7、rlypatientswithacutecholecystitisissafeandfeasible.[Keywords]Aged;Acutecholecystitis;Surgicaltreatment作者单位：515ioor东省汕头市潮阳区人峰医院普外科急性胆囊炎系由细菌、结石和化学刺激等引起的急性胆囊炎症疾病。而老年急性胆囊炎患者因常伴有心血管疾病、代谢性疾病，机体抵抗力低,临床症状不典型，病情发展迅速，并发症和病死率较高,属高危患者。随着人口老年化的趋势，老年人急性胆囊炎发病率近年来也明显增加。如何降低老年患者胆道手术的并发症和病死率，增加
8、老年患者手术的安全性，在临床上越來越受到重视。1资料与方法1.1一般资料纳入本院从2004^2008年急性胆囊炎患者为观察
