摘要
目的:分析高龄肝外胆道疾病患者的内科合并病,术后并发症和手术时机的关系,提高老年胆道疾病的治疗水平。方法:对82例65岁以上高龄肝外胆道疾病手术患者进行回顾性总结。结果:82例中行急诊手术31例(38%),择期手术51例(63%)。术后并发症发生率为20%(17/82);在并发症中肺部感染发生率占35%(6/17);泌尿道感染占28%(5/17);切口感染占19%(3/17);全组术后近期死亡3例(4%),其中,死于肝肾衰竭1例,呼吸衰竭1例,心力衰竭1例。结论:无内科合并病的高龄肝外胆道疾病患者应早手术,有合并病患者宜对合并病作及时处理后于48h内手术。
Objectlve：To analyze the relationship among extrahepatic biliary tract disease ,accompanied medical disease, postoperative complication and time of operation to increase therapeutic level of senile extrahepatic biliary tract disease. Methods： To review retrospectively 82 patients over 65 years with extrahepatic biliary tract operation. Results： Out of 82 cases, 3 cases received emergency operation （38.0%）,51 cases received elective operation （62%）. 49 cases had various accompanied medical diseases（59.7%）. 39 cases had cardiovascular diseases （47.5%）. 6 cases had respiratory diseases （7.5%）. The incidence of postoperative complication was 20 %（17/82）. Most of the complications were pulmonary infections （6/17,35%）. Next was urinary infection （5/17, 28.0%）, then incision infection （3/17, 19%）. 3 cases died soon after operation（4.0%）. 1 cases died of c and renal failure. 1 case died of heart failure. Conclusion： The patients with senile extrahepatic biliary tract disease without accompanied medical disease should be operated as early as possible. Those with accompanied medical disease should receive symotomatic treatment and then receive operation within 48 hours.
出处
《安徽卫生职业技术学院学报》
2008年第2期18-19,共2页
Journal of Anhui Health Vocational & Technical College
关键词
老年人
胆道疾病
外科手术
Senile people, senile extrahepatic biliary tract disease, surgical treatment
