| 何永礼.老年胆囊穿孔外科治疗27例分析[J].实用中西医结合临床,2007,(2):68-69 |
| 老年胆囊穿孔外科治疗27例分析 |
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| DOI： |
| 中文关键词: 老年人 胆囊穿孔 治疗体会 临床分析 |
| 英文关键词: Elderly patients Gallbladder perforation Surgical treatment Clinical analysis |
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| 中文摘要: |
| 目的：通过对老年胆囊穿孔诊治特点的分析，提高围手术期处理经验。方法：对我院普外科 1998年1月~2005年12月间共收治老年急性胆囊穿孔27例临床资料进行回顾性分析。结果：本组27例病例中，有慢性胆囊炎或胆囊结石病史25例(92.6%)，并存内科疾病19例（70.4%），术后并发症11例（40.7%），1例因多器官功能衰竭死亡。结论：根据老年人的生理及病理特点，其临床表现不典型，加之内科合并症较多见，术后并发症发生率高，选择合适的手术时机、麻醉和手术方式，并加强围手术期处理显得尤为重要。 |
| 英文摘要: |
| Objective:To analyze the characteristics of the surgical treatment for gallbladder perforation occurring among the elderly patients to gain the experience in the treatment in peri-operative period. Methods:The clinic data of 27 elderly patients treated for acute gallbladder per-foration from January 1998 to December 2005 were reviewed .Results:of 27 cases, 25 cases had a medical history of chronic cholecystitis or cholecystolithiasis(92.6%), 19 cases co-existed with internal diseases(70.4%),11 cases were complicated with other diseases after operation (40.7%) and one died of organic functiom failure. Conclusion:Because the physiological and pathological characteristics of elderly patients are not clearly manifested clinically, internal complications are very common and the incidence rate of complications is very high. It’s necessary to choose proper time,select the way of anesthesia and operation and pay more attention to the nursing of the patients in the peri-opera-tive period. |
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