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目的探讨老年人阑尾周围脓肿合并糖尿病围术期的治疗及并发症的防范措施。方法对我院2002年1月至2008年8月20例老年人阑尾周围脓肿合并糖尿病手术治疗的临床资料进行回顾分析。结果本组20例切口一期愈合16例,2例切口有轻微红肿和线结反应,1例切口感染经撑开引流、换药治愈,1例术中盲肠壁坏死处理不当,术后6 d引流管有粪漏,经治疗2周瘘道自行闭合,全组均痊愈出院,平均住院天数13 d。结论合理使用胰岛素、严密监测血糖、个体化手术、重视伴发症处理是老年人安全度过围术期、防治术后并发症的关键。
Objective To investigate the perioperative treatment and complications of appendiceal abscess in elderly patients. Methods A retrospective analysis was performed on the clinical data of 20 cases of elderly patients with abscess and diabetic surgeries in our hospital from January 2002 to August 2008. Results In the group of 20 cases incision healing in 16 cases, 2 cases of incision with slight red and swollen reaction, 1 case of incision infection by drainage, cure, 1 case of cecal wall necrosis was not properly treated 6 d Drainage drain leakage, after treatment of 2 weeks of fistula closed, all were discharged, the average length of stay 13 d. Conclusion The rational use of insulin, blood glucose monitoring closely, individualized surgery, attention to complication treatment is the perinatal safety of the elderly, the key to prevention and treatment of postoperative complications.