关键词 胆管炎，细菌性；实验室检查；老年人

    摘要 目的 探讨老年人细菌性胆管炎及治疗。方法 回顾性总结分析老年患者33例并与同期非老年组27例比较。结果 老年性胆管炎主要病因为胆系结石。老年组患者腹痛不明显，常伴有多种慢性疾病，临床症状不典型，易出现低血压、休克及意识改变。结论 经内镜下鼻-胆管引流(ENBD)、十二指肠乳头切开(EST)及取石术是本病主要治疗手段，可降低病死率。

    CLINICAL ANALYSIS OF SENILE BACTERIAL CHOLANGITIS: A REPORT OF 33 CASES

    Zhou Bing, Xin Jufang, Cheng Ying. The NO.1 People's Hospital of Zhenjiang City, Zhenjiang 212000 China

    Key words bacterial cholangitis； laboratory examination; the elder

    Abstract Objective To study seniled bacterial cholangitis and its therapy. Methods We reviewed data of 33 elder patients with bacterial cholangitis and compared it with 27 non-elder patients at the same term. Results The major reason of the senile cholangitis was gallstone disease. The abdominal pain of the elders was not obvious ,and the elder patients often had several chronic diseases .The clinic symptoms was not typical in the group of elder patients ,and they were prone to have hypotension, shock and unconsciousness. Conclusion The major therapetic treatments of the disease are ENBD,EST and lithectomy, which may reduce the mortality. ......