【摘要】 目的探讨老年人急性无结石性胆囊炎的临床特点诊断及治疗.方法对自2002年12月至2009年3月收治的58例老年人急性无结石性胆囊炎的临床资料进行回顾性分析.结果58例患者中,47例行胆囊切除术,95%可信区间为70.94%～91.12%,其中3例行胆囊切除加胆总管探查、T管引流术,95%可信区间为0%～10.87%;8例行胆囊大部分切除术,95%可信区间为4.90%～22.66%.术后病人恢复好,无重大并发症发生.结论B超、CT检查、血象化验及体征是早期诊断AAC的主要方法.早期(尤其是48h内)手术是防止胆囊穿孔、降低并发症和死亡率的重要措施.更多还原

【Abstract】 Objective To investigate the clinical characteristics and surgical treatment of acute acalculous cholecystitis(AAC) in Aged patients.Method Clinical data of 58 ACC cases in our hospital from December 2002 to March 2009 were analyzed retrospectively.Results Of the 58 patients selected,47 underwent cholecystectomy,8 partial cholecystectomy,3 cholecytostomy and exploration of common bile duct.No death and serious complications occurred within these patients.Conclusion B-mode ultrasonography,CT and laboratory examination are the main methods for diagnosis of AAC.Early diagnosis and positive operation are important to raise the curative rate ,prevent perforation of cholecyst,reduce complications and mortality of AAC.更多还原