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目的对老年人发生急性穿孔性胆囊炎的诱发因素作出研究。方法对急性胆囊炎患者的临床资料进行回顾性分析，分析胆囊穿孔发生的危险因素。结果合并糖尿病、体温高于38.5OC、畏寒寒战以及白细胞计数是胆囊穿孔的独立危险因素(<0.05)。结论通过诊断其基础疾病、体温、畏寒寒战、白细胞计数升高等能够判断老年人急性胆囊炎是否伴有穿孔。对于老年急性胆囊炎患者应当采取早发现、早治疗的措施。“,”Objective For the elderly acute cholecystitis with perforation occur ed predisposing factors to make research.Methods The clinical data of patients with acute cholecystitis were retrospectively analyzed,the analysis of the risk factors of gal bladder perforation.Results The body temperature is higher than 38.5℃,chil s,chil s and white blood cel count were independent risk factors of gal bladder perforation ( <0.05).Conclusion Through the basic diseases,diagnosis,chil s,chil s the body temperature,white blood cel count increased higher can judge whether the perforation in aged patients with acute cholecystitis with.For the elderly patients with acute cholecystitis should take early discovery,early treatment measures.