[Choise of the strategy of treatment of patients over 60 years of age with a destructive cholecystitis complicated by abdominal sepsis].
The age of 242 patients with a destructive pathology of the gall-bladder complicated by abdominal sepsis was from 60 through 93 years. During the first day operations were made on 48 (19.83%) patients with peritonitis and systemic disorders, 10 patients died (43.47%). Within 1-5 days after conservative therapy 194 (80.17%) patients were operated on, 13 patients died. The following symptoms of inflammation were observed: syndrome of systemic inflammatory reaction--in 13 (5.37%) patients, sepsis--in 190 (78.51%), severe sepsis in 16 (6.61%), septic shock--in 23 (9.5%) patients.
Pastukhova
N K
NK
Boĭko
D N
DN
D000005:Abdomen / Q000382:microbiology*; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D002763:Cholecystectomy / Q000379:methods*; D041881:Cholecystitis, Acute / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000453:epidemiology* / Q000382:microbiology