| 老年急性重症胆管炎的外科治疗(附76例分析) |
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| 引用本文： | 张永成. 老年急性重症胆管炎的外科治疗(附76例分析)[J]. 广州医药, 2003, 34(3): 26-27 |
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| 作者姓名： | 张永成 |
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| 作者单位： | 广州铁路中心医院肝胆外科,510080 |
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| 摘 要： | 目的：探讨老年急性重症胆管炎(ACST)的外科治疗。方法：总结60岁以上老年ACST76例，根据病程分段统计手术后并发症率和死亡率。结果：病程在1天以内手术者，并发症率为10．0％，死亡率为0；1～3天手术者，并发症率为21．9％，死亡率为6．3％；3天以上手术者，并发症率为64.3％，死亡率为28．8％。三组之间比较有显著差异(P＜0．01)。结论：老年人ACST治疗上应早期手术，解除胆道梗阻，建立通畅的胆道引流；手术应简捷，尽量缩短手术时间。
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| 关 键 词： | 老年人 急性重症胆管炎 外科治疗 胆总管探查术 T管引流术 |
| 修稿时间： | 2003-03-26 |
Surgical treatment to the acute cholangitis of severe type in the elderly patients |
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| Zhang Yongcheng. Surgical treatment to the acute cholangitis of severe type in the elderly patients[J]. Guangzhou Medical Journal, 2003, 34(3): 26-27 |
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| Authors: | Zhang Yongcheng |
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| Affiliation: | Zhang Yongcheng Department of Hepatobiliary Surgery of Guangzhou Railway Central Hospital,Guangzhou 510080 |
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| Abstract: | Objective: To discuss the surgical treatment to the acute cholangitis of severe type ( ACST) Methods: The data from 76 patients over 60 years old with ACST occurred from January 1990 to November 2002, the complication and mortality rate is statistics according to the development of ACST Results: The complication rate of patients with 1 day is 10 0%, the mortality rate is 0 The complication rate of patients from 1 day to 3 day is 21 9%, the mortality rate is 6 3%, the patients over 3 day is 64 3%, the mortality rate is 28 8% There are remarkable difference between the 3 group ( P <0 01) Conclusion: Operation should be performed early with the aged patients of ACST, including relieving the obstruct, effective drainage in time and simple operation program |
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| Keywords: | Acute cholangitis of severe type (ACST) Elderly Operation |
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