98例老年急性胆囊炎临床特点分析

摘要

目的 总结诊治老年人急性胆囊炎的临床经验,以提高对老年人急性胆囊炎的认识和重视.方法 回顾性分析近10年来收治的急性胆囊炎中60岁以上患者98例临床资料.结果 98例中急性结石性胆囊炎92例,急性非结石性胆囊炎6例；30例急诊手术,45例早期手术,17例择期手术,6例内科保守治疗,死亡2例(2.04％).结论 根据老年患者的临床特点,应采取以手术为主的综合治疗措施,选择恰当的手术时机、手术方式,并加强围手术处理,以降低病死率.%Objective To summarize the clinical diagnosis and treatment experiences for senile acute cholecystitis patients and improve the knowledge about it. Methods The clinical data of 98 elderly acute cholecystitis patients (age≥60) in recent ten years were retrospectively analyzed. Results Among 98 case ,the actue caiculous cholecystitis in 92 cases , the acute acalculous cholecystitis in 6 cases;30 cases were emergently operated,45 cases by early operations, 17 cases by late operations,6 cases by expentant treatment. 2 cases death(2. 04% ). Conclusion According to clinical character,active comprehensive treatment should be chosen,which mainly depends on operations, select timing and way appropriately and strengthen perioperative cases, can degrade case fatality.