摘要
目的 :总结老年妇科病人的围手术期处理经验 ,提高老年妇女手术治疗水平。方法 :对 1997年 1月至 1999年12月本院收治的老年妇科手术病人 30 4例围手术期资料进行分析。结果 :资料显示老年妇科手术患者中 82 .2 %的病人合并有心血管方面的疾病和糖尿病等疾患。老年妇女的手术疾病中以恶性肿瘤占第一位 (4 1.8% )、子宫脱垂占第二位(30 .3% )、其次为良性肿瘤 (2 7.9% )。术后有发生心衰、肺部感染、切口愈合不良等并发症。其中有 1例术后并发心律失常死亡。结论 :只要术前充分准备 ,对合并症积极控制 ,选择适当的术式和麻醉 ,术中术后严密监护 ,老年妇科患者是可以安全度过围手术期的。
Objectives:To summary the experience of treatment of senile gynecologic patients in perioperative period,in order.Methods:304 cases of senile gynecologic diseases underwent operation in our hospital between Janurary 1997 with December 1999 were analyzed retrospectivelw.Results:In total 304 cases,82.2% patients had complications such as cardiovascular diseases and Diebetes Mellitus,the malignant tumors were the most common in the operative diseases of senile women(41.8%),uterine prolapse was the second(30.3%),followed by the benign tumors(27.9%).post-operative complications such as heart failure,pulmonary infection and poor healing of the wound had been observed,one case died of sudden arrhythmia after operation.Conclusions:As long as we make better preoperative preparation、actively controling the complications,selecting appropriate operative methods and anesthesia and intensive care in-operation and post-operation,senile gynecologic patients may undergo the perioperative period safely.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2001年第4期218-219,共2页
Journal of Practical Obstetrics and Gynecology
关键词
老年妇女
妇科疾病
围手术期
处理
Senile woman
Gynecologic diseases
Perioperative period
