摘要
目的:探讨老年妇科疾病病人并存病的围手术期处理。方法:回顾性分析我院收治78例60岁以上有并存病的老年妇科疾病病人的临床资料。结果:并存糖尿病30例,高血压24例,心脏病12例,呼吸系统疾病12例,术后并发症有念珠菌外阴阴道炎3例,伤口裂开1例、伤口感染6例,肺部感染3例,心功能不全1例。结论:术前全面了解病情,加强并存病的围手术期处理,可大大提高手术成功率,降低手术死亡和并发症发生。
Objective:To explore the perioperative management of the coexisting diseases for the elderly patients with gynecological diseases.Methods:From January 1998 to January 2010, the experience of surgical treatment for gynecological diseases with coexisting diseases in 78 patients over 60 years old was analyzed retrospectively.Results:The coexisting diseases included diabetes (30 cases),hypertension (24 cases),heart disease (12 cases) and respiratory diseases (12 cases).Postoperative complications: vulvovginal candidiasis (3 cases),wound dehiscence(1 case),wound infection(6 cases),pneumonia(3 cases) and cardiac insufficiency (1 case).Conclusion:The coexisting diseases increase the risk of surgical procedures. But complete assessment of the patient’s general health and intensive perioperative management of the coexsting diseases can increase the success rate of operation and decrease the operative mortality and incidence of complication.
出处
《现代医药卫生》
2010年第20期3065-3066,共2页
Journal of Modern Medicine & Health
关键词
妇科疾病
老年病
围手术期
Gynecological diseases
Senile disease
Perioperative period