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目的探讨老年人急性胆囊炎的临床特点。方法对2005-2008年经手术治疗的58例老年人急性胆囊炎的临床资料进行回顾性分析。结果58例患者治愈55例,好转3例,死亡1例。术后出现切口感染、肺部感染及上消化道出血等并发症达20.1%。结论根据病情及老年人对急诊胆囊手术的耐受力,早期实施手术是处理老年人急性胆囊炎的关键,正确掌握手术时机,选择合理的手术方式可有效防治术后并发症的发生并降低死亡率。
Objective To investigate the clinical features of acute cholecystitis in the elderly. Methods The clinical data of 58 elderly patients with acute cholecystitis underwent surgical treatment from 2005 to 2008 were analyzed retrospectively. Results 58 patients were cured in 55 cases, improved in 3 cases, 1 died. Postoperative incision infection, pulmonary infection and upper gastrointestinal bleeding complications up to 20.1%. Conclusion According to the condition and the tolerance to emergency gallbladder surgery in the elderly, early operation is the key to the treatment of acute cholecystitis in the elderly. To correctly grasp the timing of operation and select a reasonable operation can effectively prevent postoperative complications and reduce death rate.