老年重症急性胆管炎62例临床分析

目的 总结老年重症急性胆管炎的外科处理经验。方法 分析62例老年重症急性胆管炎病人的围手术期处理、手术方式及手术时机的选择。结果 62例中，急诊手术58例，择期手术4例，术后并发症24例，占38．7％，术后死亡12例，总死亡率19．3%。结论 年龄不是老年胆道病人的手术禁忌，充分的围手术期处理，选择良好的手术时机和手术方式是治疗的关键。

Clinical analysis of 62 patients with acute cholangitis in the aged

Objective] To summarize the experience of the treatment for the elder patient with acute severe cholangitis.Methods] The management of 62 patients suffered with acute severe cholangitis was analyzed retrospectively.The clinical effect,the perioperative treatment,the operation method and the operation time were studied respectively.Results] 62 patients were treated with surgical operation,among them 58 cases were emergent operation.There is a complication rate of 38.7%(24 cases).12 patients died with death rate of 19.3%.Conclusion] Age is not the strict contraindication for the elder patients with acute severe cholongitis.The sufficient perioperative management,the best operation time and the right operation method are very important for the treatment outcome.