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目的探讨老年人急性重症胆管炎的外科治疗特点与死亡原因。方法回顾性分析2000年6月～2005年12月收治的高龄急性重症胆管炎43例。结果术后临床痊愈34例。围手术期死亡9例,死亡原因为感染性休克1例,糖尿病酮症酸中毒2例,ARDS 6例。结论老年急性重症胆管炎有其特殊性,外科治疗干预时机、手术前的充分扩容及并存疾病的处理是降低患者死亡率的关键。
Objective To investigate the surgical treatment of acute cholangitis of the elderly and the causes of death. Methods Retrospective analysis of 43 cases of elderly acute cholangitis of severe type admitted from June 2000 to December 2005. Results Postoperative clinical cure in 34 cases. Perioperative death in 9 cases, the cause of death was septic shock in 1 case, diabetic ketoacidosis in 2 cases, ARDS in 6 cases. Conclusion Aged patients with acute cholangitis have their particularity. The timing of surgical intervention, adequate expansion before surgery, and coexisting diseases are the keys to reduce the mortality of patients.