探讨急性重症胆管炎的临床治疗体会
【中图分类号】R657.4+5【文献标识码】B【文章编号】1672-5085(2008)02-0035-01【摘要】急性重症胆管炎(ACST)是腹部外科常见的严重急腹症。近年来社会逐步进入老龄化，高龄ACST患者逐年增加。高龄患者的特点是对炎症反应迟钝，临床表现不典型，而ACST病情发展迅猛，中毒性休克发生率高，病死率高。此外，老年患者对麻醉和手术耐受性差，术前并存病多，故正确处理老年人围手术期的有关问题至关重要。
【关键词】急性重症胆管炎；临床治疗
Discusses the acute heavy sickness cholangitis the clinical treatment experience Zhang Weixin
【Abstract】The acute heavy sickness cholangitis (ACST) is the abdomen surgical department common serious acute abdominal pains. In recent years the society gradually entered old age, the advanced age ACST patient increased year by year. The advanced age patient’s characteristic is to the inflammation slow reaction, the clinical manifestation is atypical, but ACST condition development swift and violent, toxic shock formation rate high, the case fatality rate is high. In addition, the old age patient to anaesthetizes with the surgery tolerance badly, in front of the technique coexists gets sick many, therefore correctly processes the senior citizen to encircle the surgery time the related question to be very important. ......
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