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目的:加强对老年急性重症胆管炎(ACST)的认识,提高其临床基层的诊治水平。方法:回顾分析本组老年ACST38例,总结其诊治情况。结果:治愈或及缓解31例,因中毒性休克或(及)肝肾功能衰竭等严重并发症死亡7例。结论:老年ACST具有一定的临床特点,早期胆道减压引流,乃是救治成功的关键。
Objective: To strengthen the understanding of acute severe cholangitis (ACST) in elderly and to improve the diagnosis and treatment of its clinical primary. Methods: A retrospective analysis of the elderly 38 cases of ACST, summarizes the diagnosis and treatment. Results: 31 cases were cured or relieved, and 7 cases died of serious complications such as toxic shock or liver-kidney failure. Conclusion: Elderly ACST has some clinical features, early biliary decompression and drainage, but the key to the success of treatment.