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老年急性无结石性胆囊炎42例诊治体会

Analysis of diagnosis and treatmen of acute acalculous cholecystitis:report of 42 cases

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【作者】 宋在如

【Author】 SONG Zai-ru(Department of Surgery,Huaiyuan County People′s Hospital,Huaiyuan Anhui 233400,China)

【机构】 安徽省怀远县人民医院外科

【摘要】 目的:探讨老年急性无结石性胆囊炎的诊断及治疗方法。方法:42例患者中,31例行胆囊切除术;3例行胆囊切除加胆总管探查、T管引流术;8例行胆囊大部分切除术。结果:术后患者恢复好,无重大并发症发生。1例胆囊切除术后病死,死因为感染性休克、多器官功能衰竭。结论:急性无结石性胆囊炎多见于年老体弱患者,病因复杂,病情进展迅速,病死率高,一经确诊,应及时手术治疗。

【Abstract】 Objective:To analysis of diagnosis and treatmen of acute acalculous cholecystitis(AAC) in aged patients.Methods:Of the 42 patients selected,31 underwent cholecystectomy,3 cholecytostomy and exploration of common bile duct,8 partial cholecystectomy.Results:No death and serious complications occurred within these patients.There was 1 case of post operative death due to septic shock andmultiple organs failure.Conclusions:AAC often occurred in elderly people and its clinical features included complicated pathogenesis,rapid progress and highmortality.

【关键词】 胆囊炎/外科手术非结石性老年人
【Key words】 cholecystitis/surgeryacalculousaged
  • 【文献出处】 蚌埠医学院学报 ,Journal of Bengbu Medical College , 编辑部邮箱 ,2011年09期
  • 【分类号】R657.41
  • 【被引频次】4
  • 【下载频次】45
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