老年重症胆管炎治疗临床体会

目的：探讨老年重症胆管炎患者治疗方法与效果。方法：回顾分析25例老年重症胆管炎患者治疗方法与愈后情况。结果：痊愈出院19例，死亡6例。2例死于术前中毒性休克，1例死于术中，2例死于肝肾功能衰竭，1例死于肺部感染。结论：老年重症胆管炎患者有病情重，发展快，中毒性休克出现早，多合并症等特点，在抗休克同时应积极手术治疗。尽早解除胆道梗阻，去除病因，这样才能降低死亡率。

Elderly Severe Cholangitis Clinical Experience

Objective To explore the treatment method and effect of patients with senile severe cholangitis. Methods The treatment and prognosis of 25 cases of elderly patients with severe cholangitis were retrospectively reviewed. Results Of 25 patients, 19 cases were cured, six cases were death. Two patients died of toxic shock preoperatively, and one died in the operation, 2 patients died of liver and kidney failure, and one died of lung infection. Conclusion The senile severe cholangitis were severe illness, rapid development, toxic shock appeared earlier and more complications, that should be actively anti-shock treatment at the same time, the early lifting ofbiliary obstruction, remove causes, in order to reduce mortality.