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合并基础疾病的老年急性胆囊炎临床治疗分析

徐国源 卜迟文

中国现代医生Issue(29):155-157,3.
中国现代医生Issue(29):155-157,3.

合并基础疾病的老年急性胆囊炎临床治疗分析

Analysis of clinical treatment for acute cholecystitis with primary diseases in aged patients

徐国源 1卜迟文2

作者信息

  • 1. 江苏省连云港监狱医院普外科,江苏连云港 222225
  • 2. 江苏省灌云县人民医院普外科,江苏灌云 222200
  • 折叠

摘要

Abstract

Objective To discuss clinical characteristics, operation opportunity and surgical methods of acute cholecys-titis with primary diseases in aged patients. Methods Fifty-seven aged patients with acute cholecystitis in combination with primary diseases were divided into early operation group and delayed operation group;the former (n=38) was defined as operation within 72 hours from onset while the latter (n=19)was defined as operation after 72 hours from onset. The operation time, pericholecystic adhesions, blood loss during operation and postoperative complications were compared between two groups. Results The cute rate of 57 patients was 94.74%(54/57), complication rate was 8.77%(5/57), mainly lung infection and wound infection. The operation time, blood loss during operation and pericholecystic adhesions in early operation group were significantly lower than in delayed group. No deaths occurred. Conclusion Acute cholecys-titis with primary diseases in aged patients develop rapidly with more complications, it is indispensible to perform surgery before serious complications with the aim of decreasing mortality.

关键词

老年急性胆囊炎/基础疾病/外科治疗

Key words

Aged patients with acute cholecystitis/Primary diseases/Surgical treatment

分类

医药卫生

引用本文复制引用

徐国源,卜迟文..合并基础疾病的老年急性胆囊炎临床治疗分析[J].中国现代医生,2014,(29):155-157,3.

中国现代医生

1673-9701

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