高龄急性胆囊炎手术风险预测与防治

目的探讨高龄急性化脓（坏疽）性胆囊炎,一期手术切除胆囊的风险预测与手术治疗效果。方法回顾性分析2003年8月-2008年4月,对42例70岁以上的高龄急性化脓（坏疽）性胆囊炎病人实施急症或亚急症一期胆囊切除术的资料。结果病人全部治愈出院。住院时间6 d～45 d,平均19 d。并发症包括切口感染3例,小流量胆汁漏2例,均经非手术治愈。结论加强风险预测,重视围手术期处理,高龄急性化脓性胆囊炎采取一期手术切除病变胆囊,以减少毒素吸收,避免再次手术,有利于高龄病人的疾病转归。

Treatment and risk prediction of acute cholecystitis operation in the elderly

Objective To explore the curative effect and the risk prediction of acute gangrewnous cholecystitis performed gallbladder operation in the elderly. Methods From August,2003 to April, 2008, 42 cases with acute gangrenous cholecystitis were performed emergency or sub-emergency operation by removing gallbladder, the age of the patients were all over 70 years. Results All the patients got fully recovered and discharged from hospital between 6 to 45 days after operation, the mean days were 19 days. Three cases were involved in wound infection, another two cases were involved bile cholorrhagia . The complications were cured with non-operation therapy. Conclusion Paying great attention to dealing with the risk prediction and performing the operation by removing the diseased gallbladder and reducing the amount of toxin in treating older people with acute gangrenous cholecystitis is beneficial to the recover of those older patients.