120例老年腹部手术患者围手术期处理体会
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【摘要】 目的 探讨老年腹部手术围手术期处理。方法 回顾120例老年腹部手术患者围手术期临床资料，其中男76例，女44例，年龄60~89岁，平均75岁。结果 病种分布：消化系统肿瘤46例(28%)，腹股沟斜疝22例(18%)，胆囊炎、胆石症14例(11.6%)，胃溃疡3例(2.5%)，其他23例(19.1%)。临床转归：治愈74例(62%)，好转27例(22.5%)，未治自动出院3例(2.5%)，死亡4例(3.3%)。结论术后并发症主要是肺部感染、心力衰竭、心房颤动及切口裂开。加强多科协作是做好高龄老年患者围手术期处理的重要环节。
【关键词】 高龄患者; 腹部手术
【Abstract】
Objective To study the method of perioperative on abdominalsurgery patients. Methods Aretrospectively collected data of elderly patients who received abdominal surgical treatmengt was analyzed, men76, women44.Results 46 cases (28%) had tumr of gastrointestinal system.22cases (18%) had indirect hernia.14cases (11.6%) had the cholecystitis or gallstone.three cases (2.5%) had the gastric ulcer .twenty three cases (19.1%) had other diseases. Outcomes of treatment were shown that 74 cases (62%) had recovered. twenty seven cases(22.5%) improved,three cases (2.5%) discharged automatically, four cases (3.3%) passed away.Conclusion The tumor in gastrointestinal system is the most common,and pulmonary infection,heart failure,atrial,atrial fibrillation and incisional hernia is the common complications ......
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