海岛老年妇科手术患者的疾病特点及处理

目的 探讨海岛老年妇科手术患者的疾病特征及围手术期处理。方法 对84例海岛老年妇科手术患者的临床资料进行回顾性分析。结果 84例患者中良性肿瘤占首位为39例(46．23％)，其次为子宫脱垂或阴道前后壁膨出24例(28．57％)，此外，合并高血压15例(17．86％)、糖尿病7例(8．33％)、心脏病5例(5．95％)。部分患者术中出现低血压，或术后并发上呼吸道感染及尿路感染。结论 只要术前准备充分，术中、术后加强监护，老年妇科疾病患者可以安全度过围手术期。

Disease features and disposal on the senile female patients who accepted gynecologic operation and living in island

ObjectiveTo investigate disease features and disposal of operating period on the senile female patients living in islands.MethodsTo analyze retrospectively clinical data of 84 senile female patients accepted gynecologic operation.ResultsAmong 84 cases, 39 (46.23%) had gynecologic benign tumor, 24 (28.57%) had hysteroptosis or anterior and posterior vaginal wall bulge, 15 (17.86%) complicated hypertension, 7 (8.33%) complicated diabetes and 5 (5.95%) complicated heart disease. Some cases showed hypotension during operating time, or suffered upper respiratory tract infection and urinary tract infection after operation.Conclusions Provided well preparation before operation and enhancing monitor during and after operation, old gynecologic patients can pass operation period safely.