老年急性重症胆管炎46例诊治体会

目的：探讨老年急性重症胆管炎（ACST）的诊断与治疗。方法：回顾分析我院2005年6月～2010年6月收治的46例老年重症急性胆管炎患者的临床资料。结果：46例患者中，手术治疗40例，痊愈34例，好转2例，死亡4例，病死率10．00％，保守治疗6例，好转2例，死亡4例，病死率66．67％。结论：早期判断，积极控制感染和预防并纠正休克，及时手术行胆管有效减压及重视并存病的处理，是减少并发症和降低死亡率的关车赶

Experience for treating 46 cases of elderly patients with acute ACST

Objective： To study the diagnosis and treatment of elderly patients with acute ACST. Methods： Retrospectively analyzed 46 cases were admitted with old ACST with clinical data from June 2005-June 2010. Results： 46 patients surgical treatment of 40 cases, 34 cases cured, improvement in 2 cases, 4 deaths andl0.00% mortality. Conservative treatment of 6 cases, improvement in 2 cases, 4 deaths and 66.67% mortality. Conclusion： Early to judge, and actively control infections and to prevent and correct the shock, prompt surgical decompression of bile duct and the importance of effective treatment of coexisting diseases is to reduce complications and mortality in the key.