我院外科近13年来共收治老年重症急性胆管炎98例,男41例,女57例。年龄60岁～84岁,平均69岁。63例曾有胆道疾病史,其中31例有过胆道手术史。有52例(53.06%)有各种不同的并发病,其中以冠心病居多。全部病人均有不同程度的腹痛、局限性腹肌紧张。体温>39℃者31例,收缩压<10kPa 者30例,白细胞>15×10~9/L 者占半数以上。89例行 B 超检查,74例 Nearly 13 years in our hospital surgical treatment of elderly patients with severe acute cholangitis 98 cases, 41 males and 57 females. Age 60 years old to 84 years old, average 69 years old. 63 cases had a history of biliary disease, of which 31 cases had a history of biliary surgery. There are 52 cases (53.06%) have a variety of complications, including coronary heart disease. All patients have varying degrees of abdominal pain, localized abdominal muscle tension. Body temperature> 39 ℃ in 31 cases, systolic blood pressure <10kPa in 30 cases, white blood cells> 15 × 10 ~ 9 / L accounted for more than half. 89 routine B-ultrasound, 74 cases