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1、老年急性非結(jié)石性肚囊炎臨床特點及手術(shù)治療【摘要】目的：探討老年人急性非結(jié)石性肚囊炎(AAC)臨床特點與手術(shù)治療.方法:通過設立病例對照，對48例老年人AAC和急性結(jié)石性膽囊炎(ACC)的并發(fā)癥、膽囊病理改變及術(shù)后結(jié)果進行比較。結(jié)果:與老年人ACC相比,AAC患者以心血管疾病為主的并發(fā)癥明顯增多(PvO.OI);膽囊化膿、壞疽與穿孔率明顯增高(P值<0.01,<0.01,<0.05);術(shù)后并發(fā)癥發(fā)生率明顯上升(PvO.Ol)。結(jié)論:老年人AAC并存病多、服囊病變重、術(shù)后并發(fā)癥發(fā)生率高;宜在癥狀出現(xiàn)48h內(nèi)手術(shù)治療?！娟P(guān)鍵詞】急性非結(jié)石性膽-囊炎；急性結(jié)石性膽?囊炎；于?術(shù)治療Clini
2、calCharacteriticsandSurgicalTreatmentoftheAged'sAcuteAcalculusCholecystitisWANGHaoMedicalCollegewithJinhuaProfessional&TechnologicalCollege,Jiuhua,321000,ChinaCHENPeiTheAffiliatedHospital,the12thEngineeringInstituteofChinaWaterResourcesandHydropowerBureau,Jinhua,321027,China[ABSTRACT]Objective：
3、Toapproachtheclinicalcharacteristicsandsurgicaltreatmentoftheagedfsacuteacalculuscholecystitis(AAC).Methods：Twocontrastgroupsofagedcaseswasnindomlyselected.OnegroupsufferedfromAACandtheotherfromACC?Bothwerecomparedintennsofcomplications,pathologicalchangesofgallbladdersandpostsurgicalresults.Re
4、sults：TheagedsufferingfromACCbeingcomparedwiththosesufferingfromAAC,whofeaturedcardiovessculardiseases,therewassignificantincreaseincomplicationsinformerthaninlatter(P<0.01);ingallfestering,gangreneandperforation(P<0.01,Pv0?01,P<0.05respectively)aswellaspostsurgicalcomplications(P<0.01).Conclus
5、ion：AgedcasessufferingfromAAChadmorecomplications,moreseverepathologicalchangesofgallandmoreincidenceofpostsurgicalcomplicationsthanthosesufferingfromACC?Theyshouldbeconductedsurgicaltreatmentwithin48hoursaftertheinitiationofsymptoms.【KEYWORDSlacuteacalculuscholecystitis(AAC);acutecalculuschole
6、cystitis(ACC);surgicaltreatment老年急性非結(jié)石性膽囊炎(AAC)是外科急癥，其病情變化快,臨床表現(xiàn)十分兇險。為探討其臨床特點、診斷及手術(shù)治療時機，本文總結(jié)了我院近8年來收治48例老年人AAC的臨床資料，并與同期老年人急性結(jié)石性膽囊炎(ACC)臨床資料進行比較，現(xiàn)報告如下。1臨床資料1.1—般資料近8年我院來共收治肚道感染886例，其中60歲以上AAC患者48例。男27例汝21例;發(fā)病至手術(shù)時間≤48h28例,>48h20例;行膽囊切除術(shù)43例，膽囊部分切除3例，膽囊造痿術(shù)1例。從同期60歲以上手術(shù)治療的214例ACC病例中，依照AAC紐患者性別、年
7、齡，并發(fā)癥、手術(shù)時間及手術(shù)方式選出與之情況基本和似的48例作為對照組。1.2統(tǒng)計學處理采用χ2檢驗。2結(jié)果2.1老年人AAC與ACC組并存病情況,老年人AAC組有43(89.58%)例患有并存病，老年人ACC組有16(33.33%)例患并存病(χ2=29.7&Pv0.01),兩紐.具體情況見農(nóng)1。衣1老年人AAC與ACC紐并發(fā)癥情況注：與AAC^IL比較*Pv0.05,AP<0.012.2老年人AAC紐不同手術(shù)時機的膽囊病理改變及術(shù)后并發(fā)癥
