老年急性非结石性胆囊炎临床特点及手术治疗

目的:探讨老年人急性非结石性胆囊炎(AAC)临床特点与手术治疗.方法:通过设立病例对照,对48例老年人AAC和急性结石性胆囊炎(ACC)的并发症、胆囊病理改变及术后结果进行比较.结果:与老年人ACC相比,AAC患者以心血管疾病为主的并发症明显增多(P＜0.01);胆囊化脓、坏疽与穿孔率明显增高(P值＜0.01,＜0.01,＜0.05);术后并发症发生率明显上升(P＜0.01).结论:老年人AAC并存病多、胆囊病变重、术后并发症发生率高;宜在症状出现48h内手术治疗.

Clinical Characteritics and Surgical Treatment of the Aged''''s Acute Acalculus Cholecystitis

Objective:To approach the clinical characteristics and surgical treatment of the aged's acute acalculus cholecystitis(AAC). Methods: Two contrast groups of aged cases was randomly selected. One group suffered from AAC and the other from ACC. Both were compared in terms of complications, pathological changes of gallbladders and post surgical results. Results: The aged suffering from ACC being compared with those suffering from AAC, who featured cardiovesscular diseases, there was significant increase in complications in former than in latter(P<0.01); in gall festering, gangrene and perforation(P<0.01, P<0.01, P<0.05 respectively) as well as post surgical complications(P<0.01). Conclusion: Aged cases suffering from AAC had more complications, more severe pathological changes of gall and more incidence of post surgical complications than those suffering from ACC. They should be conducted surgical treatment within 48 hours after the initiation of symptoms.