资源描述：
《老年急性非结石性胆囊炎临床特点及手术治疗.doc》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、老年急性非结石性肚囊炎临床特点及手术治疗【摘要】目的：探讨老年人急性非结石性肚囊炎(AAC)临床特点与手术治疗.方法:通过设立病例对照，对48例老年人AAC和急性结石性胆囊炎(ACC)的并发症、胆囊病理改变及术后结果进行比较。结果:与老年人ACC相比,AAC患者以心血管疾病为主的并发症明显增多(PvO.OI);胆囊化脓、坏疽与穿孔率明显增高(P值<0.01,<0.01,<0.05);术后并发症发生率明显上升(PvO.Ol)。结论:老年人AAC并存病多、服囊病变重、术后并发症发生率高;宜在症状出现48h内手术治疗。【关键词】急性非结石性胆-囊炎；急性结石性胆•囊炎；于•术治疗Clini
2、calCharacteriticsandSurgicalTreatmentoftheAged'sAcuteAcalculusCholecystitisWANGHaoMedicalCollegewithJinhuaProfessional&TechnologicalCollege,Jiuhua,321000,ChinaCHENPeiTheAffiliatedHospital,the12thEngineeringInstituteofChinaWaterResourcesandHydropowerBureau,Jinhua,321027,China[ABSTRACT]Objective：
3、Toapproachtheclinicalcharacteristicsandsurgicaltreatmentoftheagedfsacuteacalculuscholecystitis(AAC).Methods：Twocontrastgroupsofagedcaseswasnindomlyselected.OnegroupsufferedfromAACandtheotherfromACC・Bothwerecomparedintennsofcomplications,pathologicalchangesofgallbladdersandpostsurgicalresults.Re
4、sults：TheagedsufferingfromACCbeingcomparedwiththosesufferingfromAAC,whofeaturedcardiovessculardiseases,therewassignificantincreaseincomplicationsinformerthaninlatter(P<0.01);ingallfestering,gangreneandperforation(P<0.01,Pv0・01,P<0.05respectively)aswellaspostsurgicalcomplications(P<0.01).Conclus
5、ion：AgedcasessufferingfromAAChadmorecomplications,moreseverepathologicalchangesofgallandmoreincidenceofpostsurgicalcomplicationsthanthosesufferingfromACC・Theyshouldbeconductedsurgicaltreatmentwithin48hoursaftertheinitiationofsymptoms.【KEYWORDSlacuteacalculuscholecystitis(AAC);acutecalculuschole
6、cystitis(ACC);surgicaltreatment老年急性非结石性胆囊炎(AAC)是外科急症，其病情变化快,临床表现十分凶险。为探讨其临床特点、诊断及手术治疗时机，本文总结了我院近8年來收治48例老年人AAC的临床资料，并与同期老年人急性结石性胆囊炎(ACC)临床资料进行比较，现报告如下。1临床资料1.1—般资料近8年我院來共收治肚道感染886例，其中60岁以上AAC患者48例。男27例汝21例;发病至手术时间≤48h28例,>48h20例;行胆囊切除术43例，胆囊部分切除3例，胆囊造痿术1例。从同期60岁以上手术治疗的214例ACC病例中，依照AAC纽患者性别、年
7、龄，并发症、手术时间及手术方式选出与之情况基本和似的48例作为对照组。1.2统计学处理采用χ2检验。2结果2.1老年人AAC与ACC组并存病情况,老年人AAC组有43(89.58%)例患有并存病，老年人ACC组有16(33.33%)例患并存病(χ2=29.7&Pv0.01),两纽.具体情况见农1。衣1老年人AAC与ACC纽并发症情况注：与AAC^IL比较*Pv0.05,AP<0.012.2老年人AAC纽不同手术时机的胆囊病理改变及术后并发症
