老年人急性胆囊炎86例临床分析

目的探讨老年人急性胆囊炎临床特点，提高对该病的认识，降低该病的病死率。方法通过对86例经手术和病理证实的老年急性胆囊炎病例和同期非手术治疗34例的临床资料分析对比，寻求该病治疗的有效方法和手术时机。结果手术组痊愈80例，好转2例，死亡4例，病死率4．6％。非手术组34例，好转29例，死亡5例，病死率14．7％。结论主张对老年急性胆囊炎应早期积极手术治疗，不提倡过分强调先用非手术控制后转为择期手术的做法。

Clinical analysis of 86 elderly patients with acute cholecystitis

Objective To investigate the clinical characteristics of elderly patients with acute cholecystitis and to raise awareness of this disease and reduce mortality rate. Methods Through the comparisom between the clinical data of 86 cases confirmed by pathology cases and surgery and those of 34 cases of non-surgical group at the same period, the better choice and the timing of surgery on the treatment of this disease were obtained. Results In operation group,80 cases were cured,2 cases were improved,4 cases died;mortality rate was 4. 6%. In the non-surgical group of 34 case,29 cases were improved,5 cases died, mortality rate was 14. 7%. Conclusion It should be necessary to advocate an active surgical treatment for elderly patients with early stage, do not advocate too much emphasis on using non-surgical control at acute cholecytitis at the first and then elective operation.