| 老年急腹症病人围手术期的处理 |
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| 引用本文： | 唐大年,李永国,苗雄鹰,舒国顺,刘亚林,黄美雄.老年急腹症病人围手术期的处理[J].临床外科杂志,2002,10(6):350-351. |
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| 作者姓名： | 唐大年 李永国 苗雄鹰 舒国顺 刘亚林 黄美雄 |
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| 作者单位： | 1. 410011,长沙,中南大学湘雅二医院普外科
2. 卫生部北京医院普外科 |
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| 摘 要： | 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1990-2000年的575例老年急腹症住院病人临床资料进行回顾性分析。结果：在575例手术中，540例（93.9％）治愈和好转。术前合并有不同疾病和功能异常者423例（73.5％），术后发生各种并发症168例（29.2％）。死亡35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。
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| 关 键 词： | 老年人 急腹症 围手术期 合并症 手术时机 |
| 文章编号： | 1005-6843(2002)06-0350-02 |
| 修稿时间： | 2002年3月20日 |
Peri-operative care in elderly acute abdomen patients |
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| TANG Danian,LI Yongguo,MIAO Xiongying,et al..Peri-operative care in elderly acute abdomen patients[J].Journal of Clinical Surgery,2002,10(6):350-351. |
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| Authors: | TANG Danian LI Yongguo MIAO Xiongying |
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| Institution: | TANG Danian,LI Yongguo,MIAO Xiongying,et al.Department of Abdominal Surgery,the Second Xiangya Hospital,Changsha 410011,China |
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| Abstract: | Objective The experiences of peri-operative management in senile acute abdominal patients were summarized in order to raise the successful rate.Method We analysed retrospectively 575 cases who were senile acute abdominal patients from 1990 to 2000.Results Among 575 cases,540 cases(93.9%)were cured.423 cases(73.5%) were with other chronic diseases and dysfunctions before operation.Various complications occurred in 168 cases(29.2%)and 35 cases(6.1%) died.The death causes mainly were correlated with accompanied chronic diseases.Conclusion Strengthen peri operative care,active management of other chronic diseases and adequate operation time are important significantly for senile acute abdomen to get satisfied outcome. |
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| Keywords: | Senile Acute abdomen Peri operative care |
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