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Diagnosis and treatment of cholelithiasis in 126 cases of senile

Surgical treatment is mainly engaged in clinical research from Bethune Medical University Volume 26, 2000 in collaboration with 5 subjects, control of the complications were closely preoperative and postoperative cardiopulmonary function, blood pressure, pulse, respiration and urine output monitoring, so that patients in the best condition for surgery, the treatment of elderly patients with cholelithiasis key. ② surgical options: conventional abdominal cholecystectomy as the preferred 107 cases,[link widoczny dla zalogowanych], accounting for 83.92, cholecystostomy in 13 cases, accounting for 1O. 32.2 the results of conservative treatment of 6 cases improved, accounting for 4.76. Surgical treatment of 120 patients recovered 116 cases, accounting for 92. O6; 4 deaths, accounting for 3.18. 120 cases of complications after surgery in 28 cases, accounting for 2222, of which l0 cases of pulmonary infection, wound infection in 6 down, diabetes in 5 cases, arrhythmia in 2 cases, 2 cases of heart failure , urinary tract infection in 1 case, fistula in 1 case, shock in 1 case. Cause of death was complications of severe,[link widoczny dla zalogowanych], multiple organ failure and death. 3 to discuss the clinical features of 31 elderly people as immune function, and often accompanied by a lot of visceral disease, poor ability to respond to pain, even severe symptoms, but abdominal pain and response to fishing pressure than young people, so a higher rate of clinical misdiagnosis clinical manifestations and pathological changes inconsistent. This requires the surgeon in elderly patients with acute abdomen should be ready in time inspection of relevant, comprehensive solutions and a careful analysis of 7 clinical cholelithiasis in elderly health information, thereby reducing and avoiding misdiagnosis, so early detection and early diagnosis. 3.2 into the machine's grasp of elderly surgical patients with cholelithiasis, dangerous attack of illness, coexisting disorders, m, in the event of the prognosis of severe acute gallbladder inflammation is more serious business. Risk of infection should be possible before the onset of surgery, and age, the body is not a contraindication to biliary tract surgery. Therefore, preoperative preparation should be adequate, good control of complications, improve surgical patient endurance, choosing the best surgical procedures, the patients of severe illness and strive to fast, effective treatment principle is the key to treatment of patients. In short, elderly patients with cholelithiasis should I attach great importance from the surgeon to fully understand its clinical Conte points, grasp the timing of surgery,[link widoczny dla zalogowanych], choose the best procedure, and to improve the treatment of gallstone disease, reduce postoperative complications and mortality. [
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