48例老年胆囊炎胆石症的临床分析

目的:探讨老年胆囊炎、胆石症发病特点、围手术期处理、手术时机、术式选用。方法:通过对48例老年胆囊炎、胆石症患者临床比较。结果:老年胆囊疾病无合并症应尽早手术,有合并症应作好围手术期处理,尽量在48h内手术。结论:老年胆囊患者有其特殊性,积极围手术期处理,正确手术时机和术式能增加治愈率,减少术后并发症和死亡率。

Clinical Analysis on 48 cases Elderly Cholecystitis and Cholelithiasis

Objective: To investigate the elderly cholecystitis,cholelithiasis incidence characteristics,perioperative management,operation time and the selection procedure.Method: Based on 48 cases of elderly cholecystitis,cholelithiasis clinical comparison.Result: Elderly gallbladder disease without merger disease should be operated as soon as possible.It should be ready in perioperative management with merger disease as far as possible within 48 hours.Conclusion: The elder patients with gallbladder has its particularity,and actively perioperative management,timing and the correct surgical procedure would increase the cure rate and reduce postoperative complications and mortality.