大理医学院学报
大理醫學院學報
대리의학원학보
JOURNAL OF DALI MEDICAL COLLEGE
2001年
2期
32-33
,共2页
重症急性胆管炎%并存病%手术减压,围手术期
重癥急性膽管炎%併存病%手術減壓,圍手術期
중증급성담관염%병존병%수술감압,위수술기
目的:探讨老年重症急性胆管炎 (ACST)的临床特点及外科治疗。方法:结合老年人的病理生理特点与 ACST的关系,对 45例患者进行临床分析。结果:外科手术治疗 36例,治愈 30例,死亡 6例。非手术 9例,死亡 7例,好转 2例。结论:认为对老年 ACST的治疗应在积极抗休克、抗感染的同时;尽早手术减压,重视并存病的治疗,加强围手术期的处理,以提高救治效果、降低死亡率。
目的:探討老年重癥急性膽管炎 (ACST)的臨床特點及外科治療。方法:結閤老年人的病理生理特點與 ACST的關繫,對 45例患者進行臨床分析。結果:外科手術治療 36例,治愈 30例,死亡 6例。非手術 9例,死亡 7例,好轉 2例。結論:認為對老年 ACST的治療應在積極抗休剋、抗感染的同時;儘早手術減壓,重視併存病的治療,加彊圍手術期的處理,以提高救治效果、降低死亡率。
목적:탐토노년중증급성담관염 (ACST)적림상특점급외과치료。방법:결합노년인적병리생리특점여 ACST적관계,대 45례환자진행림상분석。결과:외과수술치료 36례,치유 30례,사망 6례。비수술 9례,사망 7례,호전 2례。결론:인위대노년 ACST적치료응재적겁항휴극、항감염적동시;진조수술감압,중시병존병적치료,가강위수술기적처리,이제고구치효과、강저사망솔。
Objective: To explone the Clinical Character and Surgery t reatment of grave acute Cholangitis in senile patients.Methods: To analyse 45 cases of grave acute Cholangitis of old patients Combining their patheological and physiological Character.Results: 36 Cases of these patients received operation and 30 Cases were Cured,6 Cases died,While 9 cases didn’ t receive operation and 7 cases died, 2 cases improved.Conclusion: grave acute Cholangitis of senile patients should be performed operation as early as possible and should pay attention to treat the Complicates meannhile anti shock and anti infection,enforcing the treantment of perioperation so as to inprove the effects of treatment and reduce the mortal rate.