老年重症急性胆管炎的外科治疗

目的：通过对５４例老年重症急性胆管炎（ＡＣＳＴ）的诊治资料分析，认识了老年ＡＣＳＴ的病理、生理和临床特点。认为对老年ＡＣＳＴ的治疗应在积极感染，抗体克短期内做好术前准备的同时，不失时机地进行早期手术，方法：对５４例老年ＡＣＳＴ病人进行回顾性总结，结果：手术治疗４８例，治愈４３例，死亡５例，非手术治疗６例，死亡４例，结论：老年ＡＣＳＴ－经确诊应尽早手术治疗，有效的解除梗阻减压引流并重高围手术期的处理以达到最大救治效果，降低病死率。

Surgical treatment of ACST of elderly patients

Objective:To study pathology,physiology and clinical characteristic of ACST of elderly patients by analysing the diagnosis and treatment data of 54 cases of ACST and find that early operation should be given while making preoperative preparation during a short time of anti-infection and antishock.Methods:To make a retrospective summary of 54 cases of ACST of elderly patients.Results:48 cases of operative treatment include 43 cases of cure and 5 cases of death.There are 6 cases of non-operative treatment that resulted in 4 cases of death.Conclusion:As soon as ACTS is ideatified,the patients should be under operative treatment as early as possible.The effective delivery of obstruction resulted from decompression drainage and paying attention to perioperative care will lead to the best outcome and lower of case fatality rate.