摘要
目的:探讨ICU在老年口腔癌患者术后的监护和治疗作用及必要性。方法:62例老年患者术前完善各项辅助检查排除手术禁忌,均接受根治性手术。术后转入ICU监护和治疗1至3天,其中28例行气管切开术,其余34例患者保留气管插管。结果:3例患者术后心电图提示心肌供血不足,4例出现心律失常,2例拔除气管插管后发生呼吸道梗阻。经相关处理,患者得到及时抢救,62例患者无1例死亡。结论:ICU能够对老年口腔癌患者术后进行及时、连续和系统的严密监护和治疗,有利于降低术后死亡率。
Objective： To investigate the function and necessity of ICU in supervision and treatment of the elderly after oral cancer operations. Methods： 62 elderly patients with oral cancer were checked completely before operation. After radical operation, all patients were transferred into ICU, further supervision and treatment lasted for 1 to 3 days. Tracheotomy was performed in 28 patients and tracheal incubation in 34 patients. Results： There was no any case dead. 3 patients appeared myocardial ischemia, 4 patients showed cardiac arrhythmia and 2 patients appeared respiratory tract obstruction. These patients were recovered after being managed in time. Conclusion： ICU can offer timely, continuous, and systemic supervision to the aged oral cancer patients after operation, and reduce the post-operation mortality rate.
出处
《中华老年口腔医学杂志》
2007年第4期212-214,共3页
Chinese Journal of Geriatric Dentistry
基金
广州市科技攻关项目(项目编号:2005Z2-E0121)
关键词
老年人
口腔癌
重症监护室
手术
并发症
aged
mouth cancer
intensive care unit, ICU
operation
complication
