偏瘫病人腹部外科手术的探讨

Abdominal surgical operation in hemiplegic patients

目的本文旨在探讨此类患者的外科处理问题。方法我科7年内对17例此类病人施行手术。17例手术的偏瘫病人中消化道肿瘤占12例;肺部感染2例,泌尿系感染1例。结果无1例死亡,术后偏瘫肢体肌力及语言障碍明显恢复。结论由此我们认为:偏瘫病人发生腹部外科疾病时应该施行手术;无论病变位于偏瘫侧还是健侧,手术切口均应选择在健侧腹部切口;重视围手术期的护理资料;手术同时,应加强对偏瘫的治疗。

Objective To study the surgical management of the hemiplegic patients. Methods The clinical data were reviewed retrospectively from 17 hemiplegic patients subject to surgical management in our department over a seven-year period （January 1996-Janmary 2（）03）. Of the 17 patients, there were 12 cases of gastrointestinal neoplasms, one case of wound dehiscence, 2 cases of pulmonary infection and 1 case of urinary tract infection. Results No perioperative death occurred. Muscular strength and allolalia of hemiplegic patients recovered noticeably. Conclusion ① Surgery can be performed in hemiplegic patients with surgical abdominal disorders. ②Surgical incision should be selected in the healthy side no matter the lesions locate in the healthy or hemiplegic side. ③ Surgeons should pay close attention to perioperative care and therapy of hemiplegic patients. ④At the same time of operation, intensive therapy should be taken for hemiplegia.