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老年急性胆囊炎——一项回顾性研究。

Acute cholecystitis in the elderly--a retrospective study.

作者信息

van der Ham A C, Lange J F, Yo T I

出版信息

Neth J Surg. 1986 Oct;38(5):142-6.

PMID:3774185
Abstract

Retrospective study on the management and results of treatment of acute cholecystitis in elderly patients. From 1965 to 1985, 147 patients over 74 years of age were treated, 38 conservatively, 76 by cholecystectomy, 32 by cholecystectomy plus exploration of the common bile duct and one by cholecystostomy. There was a high mortality in male patients (19.3%) after emergency operations (17.3%) and after choledochotomy (21.8%) compared to an overall mortality of 12.9%. No correlation was found between clinical presentation plus associated diseases and therapeutic results. The data compare favorably with other studies.

摘要

老年急性胆囊炎治疗与结果的回顾性研究。1965年至1985年期间,对147名74岁以上患者进行了治疗,其中38名接受保守治疗,76名接受胆囊切除术,32名接受胆囊切除术加胆总管探查术,1名接受胆囊造口术。与12.9%的总体死亡率相比,男性患者在急诊手术后(17.3%)和胆总管切开术后(21.8%)的死亡率较高。未发现临床表现及相关疾病与治疗结果之间存在相关性。这些数据与其他研究相比具有优势。

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