论文部分内容阅读
目的 总结老年急腹症病人 (≥ 60岁 )围手术期处理的经验 ,提高老年急腹症病人的治疗水平。方法 对 1990～ 2 0 0 0年的 5 75例老年急腹症住院病人临床资料进行回顾性分析。结果 在 5 75例手术中 ,5 40例 (93 .9% )治愈和好转。术前合并有不同疾病和功能异常者 42 3例 (73 .5 % ) ,术后发生各种并发症 168例 (2 9.2 % )。死亡 3 5例 (6.1% )。死亡原因与术前合并疾病有关。结论 加强围手术期处理 ,积极治疗并存疾病 ,把握手术时机 ,老年急腹症病人的治疗同样能达到满意效果。
Objective To summarize the experience of perioperative treatment in elderly patients with acute abdomen (≥ 60 years old) and to improve the treatment of elderly patients with acute abdomen. Methods The clinical data of 5 75 elderly patients with acute abdomen inpatients from 1990 to 2000 were analyzed retrospectively. Results Among 5 75 operations, 540 (93.9%) were cured and improved. There were 423 (73.5%) patients with various diseases and abnormalities before operation, and 168 patients (29.2%) had various complications after operation. 35 cases died (6.1%). Causes of death and preoperative merger disease. CONCLUSIONS: Perioperative management, active treatment of co-morbidities, and timing of surgery and elderly patients with acute abdomen may also achieve satisfactory results.