【摘要】 目的:探讨老年人细菌性胆管炎及治疗。方法:回顾性总结分析老年患者33例并与同期非老年组27例比较。结果:老年性胆管炎主要病因为胆系结石。与非老年人组比较,老年组患者腹痛不明显,常伴有多种慢性疾病,临床症状不典型,易出现低血压、休克及意识改变。易出现胸、腹水。结论:经内镜下鼻—胆管引流(ENBD)、十二指肠乳头切开(EST)及取石术是本病主要治疗手段,伴纠正低蛋白血症、贫血。更多还原

【Abstract】 Objective To study the causes and therapy of bacterial cholangitis in old people.Methods Their clinical data were assessed in 33 cases of old people with bacterial cholangitis and compared with 27 patients with non-old people.Results The causes of bacterial cholangitis was cholelithiasis in old people.Compared with 27 non-old patients,abdominal pain was atypical in old patients,accompany with chronicdisease.There should be hypopiesis,shock,conscious alteration,pleural fluid and ascitic fluid in old patients.Conclusions Nose-bile duct drainage by endoscope and paoilla of duodenum lithotomy are the main therapy for bacterial cholangitis. Hypoproteinia and anemia should be redressed.更多还原