高龄胆道疾病患者围手术期处理情况分析177例

目的回顾性分析高龄胆道疾病患者围手术期处理情况,评价其术后疗效。方法对177例70岁以上老年胆道手术患者临床资料进行了分析,围手术期处理包括术前全面检查、合并病处理、手术时机及麻醉的选择,术中、术后重要脏器的监护,营养支持以及并发症防治等。结果177例患者中治愈163例;好转5例,因内科并发症转科治疗7例,死亡2例。术后并发症36例(20.33%)。结论高龄胆道手术患者加强围手术期处理,对减少并发症,提高疗效具有重要意义。

Analysis of perioperative management in 177 aged patients with biliary tract diseases

Objective The perioperative management of aged biliary tract disease patients was retrospectively analyzed and the post-operatively curative effects were evaluated.Methods The clinical data of aged biliary tract operation patients( >70 years of age) were analyzed,with their perioperative handling including the pre-operational examination,disposal of complication,the operating time and the anesthesia method,intra-and post-operational monitoring of important organs,nurtition supports and complication prevention,etc.Results Among 177 patients,163 were cured,5 were improved,7 were transferred and treated becauce of medical complications and 2 were dead.The patients of post-operational complications were 36(20.33%).Conclusions Enhancing the perioperative disposal of aged biliary tract disease patients is very important to decrease complications and to improve the curative effects.