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1 临床资料 收治时间为1985年7月～1992年7月。126例中,男58例,女68例;年龄最小者60岁,最大者83岁,平均70.5岁;首次发病或病史不超过1年者35例,2～4年者78例;既往有胆道手术史者13例;合并高血压、冠心病者56例,肺气肿者13例,胰头癌者7例,入院时合并休克者15例。2 治疗方法 2.1 西医疗法(1)首先控制感染。选用氨苄青霉素6～12g静脉滴注,庆大霉素24万单位静滴,0.2％甲硝唑500ml静脉滴注。对青霉素过敏者用头孢唑啉钠4.0g静滴。老年人肾上腺皮质功能有不同程度的衰退,故对老年胆源性休克病人,可大剂量短期内应用肾上腺皮质激素,常用地塞米松15～20mg
1 clinical data were treated in July 1985 ~ July 1992. 126 cases, 58 males and 68 females; the youngest of 60 years, the largest 83 years old, an average of 70.5 years of age; the first incidence or history of no more than 1 year in 35 cases, 2 to 4 years in 78 cases; previous biliary There were 13 cases with history of surgery. There were 56 cases with hypertension and coronary heart disease, 13 cases with emphysema, 7 cases with pancreatic head cancer and 15 cases with shock when admitted to hospital. 2 treatment 2.1 western medicine (1) first control of infection. Choose ampicillin 6 ~ 12g intravenous infusion of gentamicin 240,000 units of intravenous infusion of 0.2% metronidazole 500ml. Allergic to penicillin cefazolin sodium 4.0g intravenous infusion. Adrenal function of the elderly have varying degrees of decline, so the elderly patients with gallstone shock, high-dose short-term use of adrenal cortex hormones, commonly used dexamethasone 15 ~ 20mg