老年人急性胆道感染(附68例临床分析)

目的:探讨老年人急性胆道感染的临床特点及诊疗经验。方法:回顾性分析68例老年人急性胆道感染的诊断和治疗的临床资料。结果:老年人急性胆道感染病人并发症多,使病情危重复杂,影响手术的安全性和术后的恢复。甚至手术效果良好的病人术后死于并发症的严重发作,多数患者预后不佳。结论:老年人具有特殊的生理特点与临床特点,急性胆道感染时临床表现多不典型。年龄不是手术禁忌证,应在积极抗感染、抗休克的同时,尽早采取恰当的手术治疗,做好围手术期的处理才能提高治疗效果,降低病死率。

Acute infection of Biliary Tract of Old People:a Clinical Analysis of 68 Cases

Objective:To investigate the clinical features and experience of acute infection of biliary tract of old people. Methods:The clinical data of diagnosis and treatment for acute infection of biliary tract of 68 old people were analysed retrospec- tively.Results:There were more complications in acute infection of biliary tract of old people,especially some well-oiperated pa- tients often died of postoperative complications,which influenced operative security and postoperative recovery,so most of the pa- tients had bad prognosis.Conclusion:The clinical manifestations of acute infection of biliary tract of old people aren't usually typical because of their special psychological and clinical features.Age is not induded in contraindications.To enhance the thera- peutic effect and reduce the case fatality rate,proper operations and good perioperative treatment should be adopted on the basis of active anti infection and anti-shock.