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老年人胆囊炎胆石症(附228例临床分析)

CHOLECYSTITIS AND CHOLELITHIASIS IN THE ELDERY ( A Clinical Analysis of 228 Cases )
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摘要 本文回顾了228例胆囊炎和胆石症的老年患者,主要临床表现是右上腹或剑突下疼痛(97.7%),并伴随有心血管系统和肺部疾病。126例(55.2%)作了手术。急诊手术死亡率为12%,择期手术死亡率为3.5%。本文认为,有症状并确诊为胆囊炎、胆石症的老年患者应选择积极的手术治疗。 A group of 228 patients aged 60 years or over, with cholecystitis and cholelithiasis were retrospectively reviewed. Abdominal pain in the right upper qua-trant or epigastric ares was present in about 97.7%. Associated diseases were common, the most frequently being cardiac and pulmonary diseases. The operative procedure was undertaken in 126 patients (55.2%) .the mortality in the emergency operations was 12.0%, and in the elective procedures was 3.5%. The elder patients who were symptomatic and had a complete diagnostic work-up of cholecystitis and cholelithiasis should b considered operative therapy aggressively.
作者 刘瑞林
出处 《蚌埠医学院学报》 CAS 1989年第1期41-43,共3页 Journal of Bengbu Medical College
关键词 老年人 胆囊炎 胆结石 手术 cholecystitis cholelithiasis elder, operative therapy
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