中国临床医学2012，Vol.19Issue(3)：248-249,2.
老年急性非结石性胆囊炎患者的诊断与治疗
Diagnosis and Treatment of Acute Acalculous Cholecystitis in Elderly Patients
吴伟新 1童赛雄 2沈卫星 1崔恒官1
作者信息
- 1. 复旦大学附属中山医院青浦分院普外科,上海201700
- 2. 复旦大学附属中山医院普外科,上海200032
- 折叠
摘要
Abstract
Objective:To investigate the clinical characteristics,diagnosis and treatment methods of acute acalculous cholecys-titis(AAC) in elderly patients. Methods: A retrospective study was conducted in 54 patients with ACC who were admitted to our hospital from January 2004 to December 2011. All of the patients underwent abdominal operation. Cholecystectomy was performed in 46 patients,and 5 patients with common bile duct dilatation underwent cholecystectomy and exploration of common bile duct with T tube drainage,while 8 cases underwent cholecystostomy. According to the time between onset and operation they were divided into Group A (< 48 hours) and Group B ( > 48 hours ). The incidence of operation complications,gallbladder pathological characteristics and prognosis were analyzed. Results: Among the 54 patients,49 cases were cured and 5 cases were dead. The incidences of gallbladder suppuration,gallbladder gangrene,gallbladder perforation,complication and mortality were significantly lower in Group A than in Group B. Conclusions; Timely diagnosis is very important in elderly A AC patients. Once diagnosed,early operation should be done.关键词
非结石性胆囊炎/手术时间/诊断Key words
Acalculous cholecystitis/Treatment/Therapy分类
医药卫生引用本文复制引用
吴伟新,童赛雄,沈卫星,崔恒官..老年急性非结石性胆囊炎患者的诊断与治疗[J].中国临床医学,2012,19(3):248-249,2.
