Elderly patients with acute acalculous cholecystitis clinical features and surgical treatment of.docVIP

 PAGE \* MERGEFORMAT 4 Elderly patients with acute acalculous cholecystitis clinical features and surgical treatment of Abstract Objective: To study the elderly patients with acute acalculous cholecystitis (Acute acalculous cholecystitis, AAC) clinical features and optimal timing of surgery. Methods: A case-control through the establishment of a strict comparison of 52 elderly patients with AAC and acute calculous cholecystitis (Acute calculous cholecystitis, ACC) of the coexistence of disease, gallbladder pathology and postoperative outcome; and timing of surgery in the elderly of different AAC gallbladder disease and postoperative results were compared. Results: Compared with the ACC older, AAC to cardiovascular disease in patients with coexisting diseases mainly increased significantly (P amp;lt;0.001); gall bladder suppuration, gangrene and perforation was significantly higher (P = amp;quot;0.01amp;quot; 0.001 amp;quot;0.05); post-operative complications were significantly increased (P amp;lt;0.001). Mortality was no significant difference (Pamp;gt; 0.05). Disease for more than 48 hours of surgery AAC gallbladder gangrene and perforation rate and the incidence of postoperative complications and mortality than those within 48 hours of surgery were significantly higher (P = amp;quot;0.001amp;quot; 0.001 amp;quot;0.05). Conclusion: The elderly AAC more coexisting diseases, gallbladder disease weight, the high incidence of postoperative complications; should the onset of symptoms within 48 hours of surgery. Keywords: non-surgical treatment of calculous cholecystitis Acute acalculous cholecystitis (Acuteacalculouscholecystitis, AAC) of the acute abdomen in clinical extremely dangerous, generally occurs in surgery, trauma, shock and other stress state. However, the elderly with severe underlying diseases are also common occurrence, and there is a growing tendency [1]. To explore the non-stress state of AAC clinical features of the elderly and the best timing o