摘要
目的总结高龄巨大切口疝患者围手术监护治疗的临床经验。方法回顾性分析2011年6月至2013年6月，河北唐山钢铁集团有限责任公司医院收治的巨大切口疝患者80例，对其手术前后进行严密的监护治疗，观察其生命体征变化。结果本组80例患者手术均顺利，手术时间85～135min，平均（95±10）min；平均住院时间6～8d，平均（7±1）d。术后心电图显示心肌缺血较手术前加重12例，心房颤动5例；手术后进ICU严密监护治疗30例。皮下血肿12例，经穿刺，皮下放置引流管，术后腹带加压2周恢复。随访3～24个月，无感染、复发等并发症发生。结论加强高龄巨大切口疝患者围手术期的监护治疗，能有效预防切口疝并发症发生，降低复发率。
Objective To summarize the clinical experience of perioperative treatment in elderly patients with huge incisional hernia. Methods A total of 80 patients with huge incisional hernia in Tangshan Iron Company Hospital. Results All the cases were successful. The operation time was from 85 to 135 minutes with a mean of （95 ＋ 10）minutes. The hospitalization stay lasted 6 to 8 days with a mean of （7 ± 1 ） days. There were 12 aggravated cases and 5 cases of atrial fibrillation after operation. Thirty cases were treated with intensive care in ICU. The subcutaneous drainage was placed in the twelve cases of subcitaneous hematoma and recovered after 2 weeks. The patients were followed up for 6 to 24 months without any complications （such as infection, recurrence, etc. ）. Conclusions Treatment of perioperative intensive care in the patients with huge incisional hernia can effectively prevent the occurrence of incisional hernia complications and reduce the recurrence rate.
出处
《中华疝和腹壁外科杂志（电子版）》
2014年第1期44-45,共2页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
外科手术
重症监护
老年人
Hernia
Surgical procedures,operative
Intensive care
Aged
