【摘要】 目的 总结高龄(70岁以上)胆石病的外科治疗方法。方法 回顾性分析我院4年来手术治疗高龄胆石病97例的临床资料。结果 急诊手术59例(60.8%)，择期手术38例(39.2%)；合并疾病73例(75.3%)；治愈84例(86.6%)，死亡13例(13.4%)；术后发生并发症36例(37.1%)。结论 择期手术应进行全面细致的检查并治疗合并症，选择好合适的手术时机。急诊应边抢救边检查，术中进行监测，手术应简单有效。术后积极预防并发症发生。

    【关键词】 高龄；胆石病；外科治疗

    Surgical treatment of cholelithiasis in patients aged over 70

    LI Hai-long,CHENG Shi,CHEN Tao-ya,et al.

    Department of General Surgery,Affiliated Beijing Tiantan Hospital,Capital University of Medical Sciences,Beijing 100050,China

    【Abstract】 Objective To study surgical treatment of cholelithiasis in patients aged over 70.Methods From 2000 to 2004,97 cases patients aged over 70 with cholelithasis were retrospectively analyzed.Results 59 cases underwent emergency operation(60.8%),and 38 elective operation (39.2%).73 cases medical diseases combined (75.3%).84 cases were cured (86.6%),13 died (13.4%).36 cases developed postoperative complication(37.1%).Conclusion Overall physical examination ......