摘要
目的探讨老年人重症急性胆管炎(ACST)病人的死亡率原因及手术时机。方法回顾分析53例ACST病人的治疗及愈后情况。结果死亡15例,其中手术治疗死亡11例,术前未出现休克病人,无死亡病例。结论ACST病人应在出现五联症之前手术,对于出现休克的病人应先给予适当的保守治疗,病情稳定后再手术;贻误手术时机,严重并发症及并存病、高龄是死亡的主要原因。
[ Objective ] To investigate operation opportunity and cause of death of the aged people suffering from acute severe cholangitis （ACST）. [Methods] Making retrospective analysis of treatment and recovery of 53 cases with ACST. [Results] 15 cases died, in which 11 cases died after operation. There was no shock and death before operation. [Conclusion] ACST shoud be operated before pentalogy. Expectant treatment should be gived to shock cases at first, operation shoud be gived after patient＇ s condition was stabilized; delay of operation opportunity, severe complication and comorbidities, advanced age are main causes of death.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第5期748-750,共3页
China Journal of Modern Medicine
关键词
高龄
胆管炎
治疗
aged people
cholangitis
treatment
