| 老年人急性非结石性胆囊炎临床特点 |
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| 引用本文： | 郭建平,陈军. 老年人急性非结石性胆囊炎临床特点[J]. 山西医科大学学报, 2005, 36(2): 204-205 |
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| 作者姓名： | 郭建平 陈军 |
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| 作者单位： | 山西医科大学汾阳医院普外科,汾阳,032200 |
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| 摘 要： | 目的探讨老年人急性非结石性胆囊炎(AAC)的临床特点。方法回顾性总结、分析经手术证实的22例AAC中,17例老年人AAC的临床特点,探讨老年人AAC的相关病因、诊断及治疗。结果本组病例胆囊坏疽及穿孔率高达31.8%和36.4%,误诊率达31.9%,病死率为9.1%。结论老年人AAC的病因与胆囊血供不足、胆囊排空障碍有关。易误诊,胆囊坏疽、穿孔率高,一经确诊,应早期行胆囊切除术。
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| 关 键 词： | 胆囊炎 胆囊切除术 老年人 |
| 文章编号： | 1007-6611(2005)02-0204-02 |
| 修稿时间： | 2004-09-15 |
Clinical characteristics of acute acalculous cholecystitis in the elderly patients |
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| GUO Jian-ping,CHEN Jun. Clinical characteristics of acute acalculous cholecystitis in the elderly patients[J]. Journal of Shanxi Medical University, 2005, 36(2): 204-205 |
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| Authors: | GUO Jian-ping CHEN Jun |
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| Abstract: | Objective To explore the clinical features of acute acalculous cholecystitis(AAC)in the elderly patients. Methods Retrospective analysis of clinical sign of 17 elderly patients with AAC identified by surgical operation was made and related causes,diagnosis and treatment of AAC in the aged patients were also studied. Results Gallbladder perforation and gangrene were reached up to 31.8% and 36.4% respectively,as well misdiagnosis 31.9%,and mortality 9.1%. Conclusion The causes of acute acalculous cholecystitis in the elderly patients are associated with gallbladder ischemia,defective gallbladder emptying.It is easy to misdiagnose.Gallbadder perforation and gangrene may develop frequently.Early cholecystectomy should be performed on certain diagnosis. |
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| Keywords: | cholecystitis cholecystectomy aged |
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