摘要
目的探讨老年胆道疾病的临床特点及外科处理。方法回顾性分析2008年2月～2010年2月诊治老年胆道疾病患者170例的临床资料。结果 170例患者均顺利完成手术,术中无死亡患者。术后发生并发症21例:呼吸道感染14例、切口感染3例、切口裂开2例,经对症治疗治愈。住院8～33d,平均(15.67±4.56)d,术后死亡3例,死亡原因分别为感染中毒性休克2例、肺部感染各1例。结论老年胆道疾病诊断较困难,并发症多,需要充分的术前准备、合适的手术时机与手术方式,术中认真处理好胆系与邻近脏器关系,加强术后对并发病的处理及预防。
Objective To investigate clinical characteristics and surgical treatment of elderly patients with biliary disorders.Methods Clinical data of 170 senile patients are retrospectively analyzed and all the cases are diagnosed and treated as biliary disorders,form February,2008-February,2010.Results All 170 patients received surgery with 21 cases encountered postoperative complications：14 of respiratory infections,3 infection ofincision,2 cases of Wound dehiscence.8-33 days in hospital,average（15.67 ± 4.56）days.3 cases died and 2 of them caused by infectious shock and 1 by a lung infection.Conclusion For old aged biliary disease patients diagnosis is difficult and with more complications.Sufficient preoperative preparation,appropriate surgical interference time and modus,careful treatment of biliary and adjacent organs and Strengthened postoperative treatment.
出处
《当代医学》
2010年第16期75-76,共2页
Contemporary Medicine
关键词
老年人
胆道疾病
临床特点
外科处理
Biliary diseases
Clinical characteristics
Surgical treatment
