Surgical treatment of severe acute cholangitis in aged patients
- VernacularTitle:手术治疗老年人重症急性胆管炎60例分析
- Author:
Weidong ZHU
;
Manyue ZHENG
- Publication Type:Journal Article
- Keywords:
Cholangitis;
Biliary tract surgical procedures;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2008;15(10):1649-1650
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the characteristics and therapeutic effects in the elderly patients with acute eholangitis of severe type(ACST) Methods The clinical data of 60 cases of elderly patients with ACST. Results The cured 44 cases(73.3% )and 16 deaths(26.7% ) ,the cause of death:septic shock four cases (25.0%) ,3 cases of acute renal failure(18.8%) ,ARDS four cases(25.0% ) ,multi - organ failure five cases(31.3% ). Incidence surgery within 24 h the deaths of three cases( 18.8% ) ,significantly less than 24 h after surgery incidence death in 13 cases (81.3%) ( X2= 7.72, P<0.01 );correct preoperative shock has been 40 cases, six cases of death ( 15.0% ) was significantly lower than the preoperative shock not corrected in 20 cases,death in 10 patients(50.0% ) ( X2=6.75 ,P <0.01 ). Conclusion The cure rate was improved from early diagnosis and perioperative management in the elderly patients with acute cholangitis of severe type.
