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目的探讨老年急性梗阻性化脓性胆管炎的治疗。方法分析本院收治的52例患者的临床资料。结果治愈45例,好转2例,并发肺部感染2例,并发应激性溃疡出血1例,并发多器官功能衰竭2例。术后死亡2例,死亡原因为多器官功能衰竭。结论老年AOSC诊断一旦明确,原则上应尽快手术治疗,除有不能耐受手术的严重合并病以外,都应视为手术的适应证。
Objective To investigate the treatment of acute obstructive suppurative cholangitis in the elderly. Methods The clinical data of 52 patients admitted to our hospital were analyzed. Results of 45 cases were cured, improved in 2 cases, complicated by pulmonary infection in 2 cases, complicated by stress ulcer bleeding in 1 case, complicated by multiple organ failure in 2 cases. Postoperative death in 2 cases, the cause of death was multiple organ failure. Conclusions Once the diagnosis of AOSC in the elderly is clear, surgical treatment should be done as soon as possible. In addition to serious complications that can not tolerate surgery, surgery should be considered as indications.