目的探讨结石性胆囊炎并糖尿病老年病人的围手术期处理方法.方法回顾性分析四川省监狱管理局中心医院普通外科1998年1月至2010年12月收治的34例结石性胆囊炎并糖尿病老年病人的临床资料.结果全组无手术死亡病例,术后2-3天肠道功能恢复,无酮症酸中毒发生,均全愈.结论对结石性胆囊炎并糖尿病的老年病人围手术期应该用胰岛素控制血糖,同时避免低血糖症发生,充分做好术前准备和术后管理,则会达到理想的治疗效果. “,”Objective To investigate the treatment of the elderly calulous cholecystitis and cliabetes patients in their perioperation . Methods The clinical clata of 34 elderly caliulous cholecystitis and cliabetes from January 1998 to December 2010 in the general surgery of the center hospital in Sichuan provincial prison administration were analyzed retrospectively . Results on the group without mortality cases , their intestinal function recoveried after operation 2--3 days , there is no ketoacidosis , they were recovered all . Conclusions The elderly calculous cholecystitis and diabetes should use insulin to control blood glucose , at the same time , avoid hypoglycemia , make full preparation before surgery and take a good postoperative manadement, then, youll achieve the desired results.