老年人重症急性胆管炎53例诊治分析

目的探讨老年人重症急性胆管炎（ACST）病人的死亡率原因及手术时机。方法回顾分析53例ACST病人的治疗及愈后情况。结果死亡15例，其中手术治疗死亡11例，术前未出现休克病人，无死亡病例。结论ACST病人应在出现五联症之前手术，对于出现休克的病人应先给予适当的保守治疗，病情稳定后再手术；贻误手术时机，严重并发症及并存病、高龄是死亡的主要原因。

Diagnosis and analysis of 53 cases about old intensive acute cholangitis

Objective] To investigate operation opportunity and cause of death of the aged people suffering from acute severe cholangitis (ACST). Methods] Making retrospective analysis of treatment and recovery of 53 cases with ACST. Results] 15 cases died, in which 11 cases died after operation. There was no shock and death before operation. Conclusion] ACST shoud be operated before pentalogy. Expectant treatment should be gived to shock cases at first, operation shoud be gived after patient's condition was stabilized; delay of operation opportunity, severe complication and comorbidities, advanced age are main causes of death.