老年急性重症胆管炎的外科处理

目的 探讨老年急性重症胆管炎外科治疗方式.方法 回顾性分析58例老年急性重症胆管炎患者的外科治疗及预后情况.结果 急诊手术44例,治愈40例,死亡4例;择期手术4例,全部治愈;非手术治疗10例,仅2例好转,死亡8例.结论 老年急性重症胆管炎的诊断,在应用"急性重症胆管炎诊断标准"的同时,应以全身感染症候群和本病的局部体征为主要依据,结合过去胆道感染病史、B超检查等综合判定,明确诊断后及早手术,积极的围手术处理,是提高治愈率、降低并发症和死亡率的关键.

Surgical treating of senile acute serious cholangitis

Objective To explore the surgical treating of senile acute serious cholangitis. Methods Reviewing the surgical treatment and prognosis of 58 patients of senile acute serious cholangitis. Results 44 cases received emergency operation,with 40 cases of which cured and 4 died; 4 cases undergone fixed date operation and all cured; while among 10 cases of treatment other than operation,with only 2 cures but 8 deaths. Conclusion The diagnosis of senile acute serious cholangitis,apart from the diagnosis criterion o...