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《Journal of Chengde Medical College》 1989-01
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Lu Wenchen, et al (Department of Surgery, the First Hospital of Qinhuangdao)  
One hundred and ten patients,aged over 60,with severe acute cholangitis were treated,Among them,102 by sergical operation, and 8 by conservative treatment.The results showed that 77 were cured (cure rate 70.0%),33 died(case-f atality rate30.0%),and 12 of them were misdiagnosed (misdiagnosis rate 10.9%).The main complications were toxicshock(52.7%), acute renal failue(10.9%),and wound dehiscence(10.0%).The misdiagnosis rate and incidence rate of complications were obviously higher than the aged under 60 group,The difference between two groups was statistically significant(p0.01).No one of such patients died of former argiocardiopathy or diabetete. The major causes of misdiagnosis were due tothe atypical symtoms and signs in the old. The authors suggest that the patients with sever acu(?) cholangitis of the aged should be treated with antishock therapy. If their conditions werecritical, the surgical operations should be performed promptly, thus decreasing the case-fatality to 18.9%.
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