【摘要】 目的　探讨老年急性重症胆管炎 (ACST)的特点及手术时机。方法　回顾性分析 38例老年 ACST患者的治疗及预后情况。结果　手术治疗 31例 ,治愈 2 7例 ,死亡 4例。非手术治疗 7例 ,病情好转 2例 ,死亡 5例。结论　治疗老年 ACST应在积极抗休克、抗感染的同时 ,尽早手术减压 ,重视合并症的治疗 ,加强围手术期的处理 ,以提高救治效果 ,降低病死率更多还原

【Abstract】 Objective To explore the character and treatment of acute severe cholangitis(ACST) in senile patients.Methods Retrospective analysis was made on the treatment and prognosis of 38 senile patients.Results Among 31 cases receiving operation,27 cases were cured and 4 cases died.In contrast,among 7 cases who didn’t receive operation,2 cases improved and 5 cases died.Conclusion Acute severe cholangitis of senile patients should be given operation as early as possible and attention should be paid to complications.Meanwhile anti-shock,anti-infection and the managment of perioperation should be enforced so as to improve the effects of treatment and reduce the mortal rate.更多还原