中国现代手术学杂志2011，Vol.15Issue(4)：256-258,3.
老年肥胖胆囊炎患者的临床特点及诊治经验
The Clinical Features, Diagnosis and Treatment of Cholecystitis in the Old Obese Patients
李坤平 1林帆 2古维立 2徐波 2范少峰 2赖越元 2林春明2
作者信息
- 1. 广州医学院,广州,510182
- 2. 广州医学院附属广州市第一人民医院肝胆外科,广州,510180
- 折叠
摘要
Abstract
Objective To investigate the clinical characteristics of the old obese patients of cholecystitis. Methods The clinical data of 129 old obese cases were retrospectively studied, in whom 55 received conservative treatment and 74 cases received operations (routine cholecystectomy in 67, gallbladder resection + cholecystomy in 5 and partial cholecystectomy in 2). Results In 74 surgical cases, there were 3 cases complicated with bile leakage, 1 with bleeding and 2 with wound seroma, and all got cured. In 55 cases of conservative treatment, there were 2 cases suffered from the liver function failure and died later. It showed longer operative time, more bleeding, longer hospital stay and higher complication rate in the diabetes and ( or ) BMI ≥28 patients. Conclusion The aged, especially in the obese patients, may be one of the risk factors for acute exacerbation of chronic cholecystitis and gallstone; clinical symptoms may be not typical with a strong hidden of advance complications, relative risks of certain difficulties brought on the diagnosis and treatment which needs closer attentions.关键词
胆囊炎/超重/老年人Key words
cholecystitis/ overweight/ aged分类
医药卫生引用本文复制引用
李坤平,林帆,古维立,徐波,范少峰,赖越元,林春明..老年肥胖胆囊炎患者的临床特点及诊治经验[J].中国现代手术学杂志,2011,15(4):256-258,3.
