老年急性结石性胆囊炎的治疗体会李兴禹.docVIP

精品论文 参考文献 老年急性结石性胆囊炎的治疗体会李兴禹 甘肃省金塔县人民医院 普外科 甘肃 金塔 735300 2.甘肃省金塔县中医院内科 甘肃 金塔 735300 【摘要】目的 :研究分析老年人急性结石性胆囊炎的治疗，总结治疗体会。方法 :用回顾分析方法，选取2013年1月到2015年1月间40例收入我院的该病患者的临床资料。结果: 所有选入该回顾分析中的患者在治疗后，完全治愈者有38例（占总病例数95%），死亡1例（占总病例数2.5%），并发切口感染1例（占总病例数2.5%）。治疗主要措施有入院后均采取禁食、胃肠减压、纠正体液酸碱平衡、选用敏感抗生素、控制血压心率、对症治疗等措施。部分患者症状缓解后，选择择期手术治疗；部分急症患者，采取急诊手术治疗。结论 :老年人急性结石性胆囊炎病情凶险、进行迅速，并且易合并并发症，易感染。应加强围术期处理，选择择期手术，最常用术式为腹腔镜胆囊切除术。 【关键词】老年；急性结石性胆囊炎；疗效 【中图分类号】R214【文献标识码】A【文章编号】1001-5213(2016)09-0363-01 【 abstract 】 objective: to study the treatment of acute calculous cholecystitis in the elderly, summary treatment experience. Methods: using retrospective analysis method, the selection from January 2013 to January 2015 between 40 cases of income from the clinical data of patients with the disease. Results: all elected to the retrospective analysis of patients after treatment, all cured with 38 cases (accounting for 95% of the total number of cases), 1 case death (accounts for 2.5% of the total number of cases), 1 cases were complicated with infection of incision (accounts for 2.5% of the total number of cases). The main measures are admitted to hospital after treatment were taken fasting, gastrointestinal decompression, correct fluid acid-base balance, choose sensitive antibiotic, control of blood pressure, heart rate, symptomatic treatment. After some patients symptoms, choose elective surgery; Part of the emergency patients, emergency operation. Conclusion: the elderly acute calculous cholecystitis disease disaster, quickly, and easily merge complications, easy to infection. Should strengthen the perioperative treatment, choose elective surgery, the most common procedure for cholecystectomy. 【 key words 】 the elderly; Acute calculous cholecystitis; The curative effect 随着我国经济水平的不断提高，医疗水平的快速发展，人民生活得到巨大改善，平均寿命得到延长，我国老龄化日趋严重，老年人口增长迅速。老年急性结石性胆囊炎患者也逐年增高。老年性急性结石性胆囊炎是外科常见病，常合并冠心病、糖尿病、支气管炎、肺气肿、脑梗赛、高血压等慢性疾病，老年患者机体各脏器均有不同程度的退行性改变，机体免疫力下降。病情往往进程较快，凶险。加重了手术的风险。 现根据我院在2013年1月到2015年1月间收入