摘要
目的 探讨高龄 (70岁以上 )胆道疾病的外科治疗方法。方法 回顾性分析了我院 13年来手术治疗 70岁以上高龄胆道疾病 89例的经验。急诊手术 4 7例 (5 2 .8% ) ,择期手术 4 2例 (47.2 % )。结果 治愈 80例 (89.9% ) ,死亡 5例 (5 .6 % ) ,未愈出院 4例 (4.5 % )。术后发生并发症 35例 (39.3% )。结论 择期手术应进行全面细致的体检 ,积极治疗合并病 ,选择好合适的手术时机。急诊应边抢救边检查 ,术中进行监测 ,手术应简单实用有效。术后全面监测生命体征变化 ,发现问题及时处理 。
Objective To summarize the experiences of surgical treatment of biliary tract disease in patients aged over 70. Methods From 1987 to 2001, 89 elderly patients aged over 70 with biliary tract disease were retrospectively analysed in our hospitral of whom, 42 cases underwent elective operation (47.2%), and 47 emergency operation. Results Among the 89 patients, 80 cases were cured (89.9%), 5 died (5.6%), 4 discharged (4.5%), and 35 developed postoperative complication. Conclusions Overall physical examination, management of complications, and selecting proper time for operation are essential for elective operation. Giving immediate medical care while making physical examination, performing practical and effective operation, monitoring vital signs of the patients during and after operation, and management of complications are required for emergeney cases.
出处
《消化外科》
CSCD
2002年第6期412-414,共3页
Journal of Digestive Surgery
关键词
胆道疾病
外科手术
治疗
老年人
geriatrics biliary tract disease surgical treatment
