生长抑素在老年急性化脓性胆囊炎治疗中的应用
投稿时间:2010-12-06    点此下载全文
引用本文:项红军,柴福禄,上官建营,肖毅,李红梅,张超.生长抑素在老年急性化脓性胆囊炎治疗中的应用[J].医学研究杂志,2011,40(6):150-151
DOI:
摘要点击次数: 1408
全文下载次数: 1042
作者单位
项红军 兰州军区总医院肝胆外科 
柴福禄 兰州军区总医院肝胆外科 
上官建营 兰州军区总医院肝胆外科 
肖毅 兰州军区总医院肝胆外科 
李红梅 兰州军区总医院肝胆外科 
张超 兰州军区总医院肝胆外科 
中文摘要:目的探讨生长抑素在老年急性化脓性胆囊炎中的应用。方法9例老年患者手术前、后3天应用生长抑素,12例患者未使用生长抑素,均行手术治疗,观察术中出血量、术后平均咳嗽咳痰时间,术后平均腹腔引流量,平均住院时间。结果手术前后3天使用生长抑素治疗能够显著减少出血量(150±30ml vs 380±40ml,P<0.05)、平均咳嗽咯痰时间(2.8±0.6天 vs 4.8±0.5天,P<0.05)和腹腔引流量(30±5ml vs 50±7ml,P<0.05),并缩短平均住院时间(8.8±2.1天 vs 13.8±1.9天,P<005)。两组均无死亡病例。结论老年急性化脓性胆囊炎患者应用生长抑素可明显提高急性化脓性胆囊炎治愈率,并减少并发症。
中文关键词:生长抑素  急性化脓性胆囊炎  老年
 
The Use of Somatostatin in the Treatment of Gerontal Acute Suppurative Cholecystitis
Abstract:ObjectiveTo explore clinical application of insuloma in the treatment of acute suppurative cholecystitis. MethodsTwenty-one cases of acute suppurative cholecystitis were summarized in present study. Insuloma was administrated in 9 cases of them. All cases were employed operation on gallbladder underwent operations. The blood loss, the median volume of blood loss, the average time of expectoration, the median volume of abdominal drainage and the median length of hospital stay stay were estimated in two groups. ResultsThe median volume of blood loss, the average time of expectoration, the median volume of abdominal drainage and the median length of hospital stay was 150±30ml, 2.8±0.6days, 30±5ml 8.8±1.9days in insuloma treatment group,which is significantly lower than that control group (380±40ml, 4.8±0.5days,50±7ml and 13.8±1.9days, P<0.05) although no case died in both of groups. ConclusionAdministration of insuloma in gerontal acute suppurative cholecystitis can significantly increase recovery rate and decrease complication.
keywords:Insuloma  Acute suppurative cholecystitis  Gerontism
查看全文  查看/发表评论  下载PDF阅读器

京公网安备 11010502037822号