[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.