摘要
目的回顾性分析高龄胆道疾病患者围手术期处理情况,评价其术后疗效。方法对177例70岁以上老年胆道手术患者临床资料进行了分析,围手术期处理包括术前全面检查、合并病处理、手术时机及麻醉的选择,术中、术后重要脏器的监护,营养支持以及并发症防治等。结果177例患者中治愈163例;好转5例,因内科并发症转科治疗7例,死亡2例。术后并发症36例(20.33%)。结论高龄胆道手术患者加强围手术期处理,对减少并发症,提高疗效具有重要意义。
Objective The perioperative management of aged biliary tract disease patients was retrospectively analyzed and the post - operatively curative effects were evaluated. Methods The clinical data of aged biliary tract operation patients （ 〉 70 years of age） were analyzed, with their perioperative handling including the pre - operational examination, disposal of complication, the operating time and the anesthesia method, intra - and post - operational monitoring of important organs, nurtition supports and complication prevention, etc. Results Among 177 patients, 163 were cured, 5 were improved,7 were transferred and treated becauce of medical complications and 2 were dead. The patients of post - operational complications were 36 （20. 33% ）. Conclusions Enhancing the perioperative disposal of aged biliary tract disease patients is very important to decrease complications and to improve the curative effects.
出处
《医学信息（手术学分册）》
2007年第3期206-208,共3页
Medical Information Operations Sciences Fascicule
关键词
高龄
胆道疾病
手术
围手术期
aged
biliary tract disease
operation
perioperative
