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目的探讨老年急性胆囊炎外科治疗时机和方式。方法回顾性分析2000年1月至2007年8月中国医科大学附属第一医院458例老年急性胆囊炎病人的临床资料。结果非手术治疗病死率3.9%,平均住院16.9d;手术治疗病死率1.0%,平均住院11.3d。结论老年急性胆囊炎病人的病情进展快,治疗难度大,风险高,要高度重视外科治疗的时机及方法。早期手术治疗明显降低病死率及缩短住院时间,是安全可行的。
Objective To investigate the timing and methods of surgical treatment of senile acute cholecystitis. Methods The clinical data of 458 elderly patients with acute cholecystitis from January 2000 to August 2007 in the First Affiliated Hospital of China Medical University were retrospectively analyzed. Results The non-operative mortality was 3.9% and the average hospitalization was 16.9 days. Surgical treatment mortality was 1.0% and the average hospitalization was 11.3 days. Conclusion Senile patients with acute cholecystitis progressed rapidly, the treatment is difficult, high risk, we should attach great importance to the timing of surgical treatment and methods. Early surgical treatment significantly reduce the mortality and shorten the hospital stay, is safe and feasible.