Broders C W, Benavides R A
Clin Geriatr Med. 1985 May;1(2):453-8.
Acute cholecystitis is not an unusual sequela of chronic cholelithiasis, nor is its occurrence predictable. The elderly patient with acute cholecystitis faces an increased risk of death and illness. Prompt, remedial medical preparation followed by early surgical extirpation of the gallbladder (with common bile duct exploration where indicated) is the surgical treatment of choice. Cholecystostomy should be considered for those patients in whom a more extensive procedure is judged to be too hazardous. With Americans' intense interest in maintaining a vigorous, healthy, and youthful profile and their fear of dying, it is a most suitable protective health measure to advocate that all patients with calculous biliary tract disease be urged to have surgical intervention of this disease process before the complication of acute cholecystitis occurs. The risks of a cholecystectomy under elective conditions are low and the results are most gratifying.
急性胆囊炎是慢性胆石症常见的后遗症，其发生也不可预测。老年急性胆囊炎患者面临更高的死亡和发病风险。迅速进行补救性医疗准备，随后尽早手术切除胆囊（必要时探查胆总管）是首选的外科治疗方法。对于那些被认为进行更广泛手术风险太大的患者，应考虑行胆囊造口术。鉴于美国人对保持活力、健康和年轻形象的浓厚兴趣以及对死亡的恐惧，倡导所有患有胆石症的患者在急性胆囊炎并发症发生之前接受该疾病进程的手术干预是一项非常合适的预防性健康措施。择期行胆囊切除术的风险较低，效果也非常令人满意。
