About 113 cases of surgical treatment of cholelithiasis in elderly.docVIP

 PAGE \* MERGEFORMAT 7 About 113 cases of surgical treatment of cholelithiasis in elderly Of: Zhang Huaiyao Cui brigade Huang Qijun Gallstones, cholecystitis, biliary system, common in the elderly, and increased prevalence increases with age. As the elderly circulatory and respiratory dysfunction, and more with coexisting disease, poor tolerance for surgery age the higher the greater the risk of surgery, so the surgical treatment of age-related diseases increased by surgeons attention. in our hospital from January 2000 -2010 113 cases in December for over 70 years old underwent various biliary gallstone surgery, aged over the same period accounted for 62.3% of biliary tract surgery, the final report is as follows. 1 Clinical data 1.1 General information on 113 cases, male 44 cases (38.9%, female 69 cases (61.1%. Aged 70-86 years, mean age 74 years, 80 years old in 5 patients, preoperatively diagnosed by B-ultrasound by B-ultrasound and confirmed by surgery: 81 cases of chronic cholecystitis, cholelithiasis and common bile duct stones in 12 cases of acute suppurative cholangitis (AOSC3 patients with acute exacerbation of chronic cholecystitis in 15 cases, which occurred suppurative gangrene cholecystitis in 5 cases, 5 patients with biliary pancreatitis. 1.2 The main clinical manifestations of 91 patients hospitalized patient level, the common complaint of epigastric or right upper quadrant pain and discomfort, physical examination no positive signs. Emergency admission, 22 cases had abdominal pain, nausea, vomiting, temperature higher than 37.5 ℃ 5 cases, right upper quadrant tenderness, rebound tenderness, muscular tension was 5 cases, 4 cases could be reached by mass, but abdominal pain and tenderness not obvious, serum amylase greater than normal in 5 cases, WBC above 10 × 109/L6 cases. 1.3 comorbidities comorbidities in this group, 58 cases, of which 5 cases were associated with coronary heart disease, hypertension in 10 case