摘要
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。
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 retrospectively. Results： There were more complications in acute infection of biliary tract of old people,especially some well-oiperated patients often died of postoperative complications,whlch influenced operative security and postoperative recovery,so most of the patients 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 included in contraindications. To enhance the therapeutic 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.
出处
《现代生物医学进展》
CAS
2007年第7期1076-1077,共2页
Progress in Modern Biomedicine
关键词
老年人
急性胆道感染
临床特点
休克
Old people
Acute infection of biliary tract
Clinical features
Shock
