摘要
分析１１０例７５岁以上老年人普外科腹部手术的临床资料。３５例（３１．８％）为恶性肿瘤，其中晚期肿瘤１６例。８１例（７３．６％）术前同时并存各种慢性疾病或实验室检查异常。急症手术４８例，其术后并发症发生率为５２．１％，主要与并存症未被控制有关。９８例（８９．１％）治愈或好转，１２例（１０．９％）死亡，死亡原因多与原发疾病有关，４例死于并存症所致的脏器功能衰竭。表明虽然７５岁以上的老年人并存疾病较多，但只要妥善施行围手术期的处理，同样可耐受腹部外科手术。
Abstract Hundred and ten patients over 75 years of age undergone abdominal surgical operations were analyzed. 35cases(31.8%) had malignant tumors with 45.7% in late stage.81 cases(73.6%)had one or more concomittant diseases or laboratory abnormalities.48 cases were operated on as emergencies with postoperative complications of 52.1% which were mainly related to the preoperative coexisting diseases. 98 cases(89.1%) were cured or improved on discharge.12 cases(10.9%)died. Deaths were mainly related to the primary diseases 4 cases died of organ failure due to associated diseases.We believe that the elderly over 75 can tolerate abdominal operation under careful preoperative assessment and perioperative management.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
1995年第6期336-338,共3页
Chinese Journal of Geriatrics
