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目的:探讨老年人急性结石化脓性胆囊炎的临床特点。方法:对我院2001年10月～2010年10月的67例老年人急性结石化脓性胆囊炎患者的临床表现及治疗进行回顾性分析。结果:67例中治愈64例,死亡3例。术后6例(8.96%)发生切口感染,4例(5.97%)发生肺部感染,1例发生右下肢深静脉血栓均治愈。住院时间9～14天,平均11天。结论;老年人对急诊胆囊手术一般都能耐受,是安全、可行的,积极早期手术及积极防治术后并发症可降低死亡率。
Objective: To investigate the clinical features of acute calculous suppurative cholecystitis in the elderly. Methods: The clinical manifestations and treatment of 67 elderly patients with acute suppurative cholecystitis in our hospital from October 2001 to October 2010 were analyzed retrospectively. Results: Sixty-four cases were cured and three died. Incision infection occurred in 6 cases (8.96%) after operation, pulmonary infection was found in 4 cases (5.97%), and deep vein thrombosis in the right lower extremity was cured in 1 case. Hospitalization time 9 to 14 days, an average of 11 days. Conclusion: The elderly are generally tolerant to emergency gallbladder surgery and are safe and feasible. Active early surgery and active prevention and treatment of postoperative complications can reduce mortality.