高龄、高危急性胆囊炎的临床治疗进展

发布时间：2018-05-12 05:48

本文选题：急性胆囊炎 + 高龄　；参考：《河北医科大学》2017年硕士论文

【摘要】：急性胆囊炎是临床上常见的急腹症,随着人们生活水平的提高及人口老龄化的发展,高龄、高危急性胆囊炎患者的数量越来越多。本文结合中外研究,对急性胆囊炎的临床诊断及严重性分级进行详细描述,比较分析了急性胆囊炎手术治疗(开腹手术、腹腔镜手术)、保守治疗及介入治疗的优缺点,要根据患者不同的身体条件、严重等级等选择不同的治疗方法。因患者病情危重,多合并其他器官功能障碍,保守治疗往往不能控制病情发展,外科手术尤其是腹腔镜手术具有创伤小的特点,临床上常用于高危患者的治疗,但是仍有部分患者无法耐受手术,经皮胆囊穿刺引流术是一项新选择,不仅可以是患者手术前的过渡治疗,也可成为胆囊炎患者的确定性治疗。
[Abstract]:Acute cholecystitis is a common acute abdomen in clinic. With the improvement of people's living standard and the development of aging population, the number of patients with acute cholecystitis at high risk is more and more. In this paper, the clinical diagnosis and severity of acute cholecystitis were described in detail, and the advantages and disadvantages of surgical treatment of acute cholecystitis (open operation, laparoscopic operation, conservative treatment and interventional treatment) were compared and analyzed. Different treatment methods should be selected according to the patient's different physical condition, severity grade and so on. Because of the critical condition of the patients and the multiple complications of other organ dysfunction, conservative treatment often can not control the development of the disease. Surgery, especially laparoscopic surgery, has the characteristics of less trauma, and is often used in the treatment of high-risk patients clinically. But there are still some patients can not tolerate surgery, percutaneous cholecystectomy is a new choice, not only can be the transitional treatment before surgery, but also become the definitive treatment of cholecystitis patients.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R657.41

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