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目的探讨老年急性梗阻性化脓性胆管炎的临床治疗经验。方法我院于2006年4月至2011年9月,共收治了32例老年急性梗阻性胆管炎患者,回顾分析其中的临床特点、手术或非手术治疗效果,探讨其死亡原因。结果 9例非手术治疗,治愈7例,死亡2例,23例手术,治愈21例,死亡2例。结论积极的手术治疗是治疗老年急性梗阻性化脓性胆管炎的重要手段,手术时机和正确的手术方式是提高老年急性梗阻性化脓性胆管炎的治愈率和降低其死亡率的关键。
Objective To investigate the clinical experience of acute obstructive suppurative cholangitis in the elderly. Methods A total of 32 elderly patients with acute obstructive cholangitis were admitted to our hospital from April 2006 to September 2011. The clinical features, surgical or non-surgical treatment were retrospectively analyzed to investigate the causes of death. Results Nine non-surgical treatments were cured in 7 cases, 2 died, 23 cases were cured, 21 cases were cured and 2 died. Conclusion Positive surgical treatment is an important method for the treatment of acute obstructive suppurative cholangitis in the elderly. The timing of operation and correct operation are the keys to improve the cure rate and reduce the mortality rate of senile acute obstructive suppurative cholangitis.