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目的分析急性胆囊炎在老年患者中的临床特点并总结临床治疗体会,以提高临床诊治水平。方法选择2011年6月~2012年11月期间在我院治疗的急性胆囊炎老年患者55例和非老年患者62例,比较两组患者术前临床体征与检查指标,并比较两组患者术后临床状况与病理结果,同时对临床治疗体会进行总结。结果两组患者术前临床体征、检查指标以及术后临床状况与病理结果比较,差异均具有统计学意义(P<0.05),提示老年急性胆囊炎患者与年轻急性胆囊炎患者比较,其临床表现较轻,但病变程度较重的特点。结论结合老年急性胆囊炎的临床特点,临床医师应提高思想意识,合理手术时机与手术方式,加强围手术期处理,以避免病变的进展、减少并发症的发生和促进患者的康复。
Objective To analyze the clinical features of acute cholecystitis in elderly patients and summarize the experience of clinical treatment in order to improve the level of clinical diagnosis and treatment. Methods 55 cases of acute cholecystitis and 62 cases of non-elderly patients were treated in our hospital from June 2011 to November 2012. The clinical signs and indexes were compared between the two groups before and after operation Clinical conditions and pathological findings, at the same time to summarize the clinical experience. Results There were significant differences in preoperative clinical signs, test indexes, postoperative clinical status and pathological results between the two groups (P <0.05), suggesting that the clinical manifestations of patients with acute cholecystitis in elderly patients with acute cholecystitis Light, but the severity of the lesion. Conclusion Combined with the clinical features of elderly patients with acute cholecystitis, clinicians should improve their ideology, reasonable timing and operation of surgery, and strengthen the perioperative management to avoid the progression of the disease, reduce the incidence of complications and promote the recovery of patients.