87例高龄胆石症患者急性发作的诊治分析

目的:探讨提高高龄患者胆石症急性发作的诊断和治疗水平.方法:回顾总结该院1990年5月～2005年1月间收治的87例高龄老人胆石症急性发作时的临床特点、治疗及疗效.结果:87例中69例(80%)合并其他疾病,3例(3.5%)并存胆道肿瘤.70例(80%)行急诊手术,术式以胆囊切除、胆道探查为主,胆囊切开取石 胆囊造瘘3例.围手术期死亡7例(8%),共治愈80例(92%).结论:高龄老人胆石症患者急性发作时手术治疗是相对安全、有效的方法,术式力求简单、有效,胆囊切开取石 胆囊造瘘在基层医院仍是一种较为安全的方法.围手术期应注意合并症的处理.

Analysis of 87 cases of acute cholelithiasis in elder patients

Objective To explore how to improve the diagnosis and treatment of acute cholelithiasis in elder patients. Methods To analyse the data of 87 elder patients with acute cholelithiasis from May 1990 to January 2005 retrospectively. Results Among the 87 cases ,69(80%) cases had complications, 3(3.5%) cases combined with cholecyst or bile duct carcinoma, 70(80%) cases underwent emergency operation. Cholecystectomy with exploration of common bile duct was the main operation style, 3 cases were treated with sub-cholecystectomy combined stump fistulization, 7(8%) cases died during peri-operation period. 80 cases (92%) were cured . Conclusion Surgical treatment of aged cholelithiasis is safe and effective. The operation must be simple and valid, sub-cholecystectomy combined stump fistulization is safe in the countryside hospital. Surgeons should be careful to handle complications during peri-operation period.