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目的:对老年急性胆囊炎患者的临床特点进行研究分析,并探讨有效的老年急性胆囊炎的临床治疗方式,为日后老年急性胆囊炎患者的临床治疗提供更多依据。方法:选取我院2014年4月-2015年7月所收治的68例老年急性胆囊炎患者,对其进行临床特点分析,并针对患者的具体症状选取合适的方法进行临床治疗,并对患者的临床疗效进行分析。结果:68例老年急性胆囊炎中有胆绞痛史者占比为38(55.88%),临床表现主要为右上腹绞痛、压痛、反跳痛,局部有腹膜刺激征者占比为30(44.12%),保守治疗3例,手术治疗为65例,其中,胆囊切除术45例,胆囊切除并胆总管T型管引流术20例;经治疗本组患者的治愈率为67(98.52%),死亡率为1(1.48%),出现术后并发症的占比为4(5.88%),并发症后经过相应的治疗均得到痊愈。结论:老年急性胆囊炎病情较为复杂且发病较急,对接受手术治疗的患者需要严格的把握手术时机,从而有效的提高老年急性胆囊炎患者的临床治疗疗效及生活质量。
Objective: To study and analyze the clinical features of elderly patients with acute cholecystitis and to explore the effective clinical treatment of elderly patients with acute cholecystitis, in order to provide more evidence for future clinical treatment of elderly patients with acute cholecystitis. Methods: A total of 68 elderly patients with acute cholecystitis who were admitted to our hospital from April 2014 to July 2015 were enrolled in this study. The clinical features of the patients were analyzed. According to the specific symptoms of the patients, suitable methods were selected for clinical treatment. Clinical efficacy analysis. Results: The proportion of 68 elderly acute cholecystitis patients with history of gallbladder was 38 (55.88%). The clinical manifestations were mainly upper right colic, tenderness, rebound tenderness and local peritoneal irritation. The proportion of them was 30 44.12%), conservative treatment in 3 cases, surgical treatment of 65 cases, of which 45 cases of cholecystectomy, cholecystectomy and common bile duct T-tube drainage in 20 cases; after treatment in this group of patients cure rate was 67 (98.52% , The mortality rate was 1 (1.48%), the proportion of postoperative complications was 4 (5.88%). All the complications were cured after the corresponding treatment. Conclusion: The condition of elderly acute cholecystitis is complicated and its incidence is rather acute. Patients receiving surgical treatment should strictly grasp the timing of operation, so as to effectively improve the clinical curative effect and quality of life in elderly patients with acute cholecystitis.