老年患者血管外科急症的分布状况和手术疗效

Distribution and evaluation of emergent cases of dderly in vascular surgery

目的探讨血管外科老年急症病种的分布状况，评价急诊手术治疗效果。方法回顾性分析北京协和医院血管外科中心2006年1月1日至2008年10月31日所有年龄≥60岁的血管外科急症入院手术病例的发病情况、伴随疾病、手术治疗效果和围手术期并发症情况。结果血管外科急诊手术量逐年递增，年龄≥60岁患者伴随疾病比例明显高于〈60岁患者，其中心血管疾病（包括瓣膜病）、脑血管疾病、高血压、糖尿病等四大疾病为老年患者最为常见的伴随疾病。年龄≥60岁的患者的围手术期并发症比例与〈60岁的患者相比无统计学意义。结论老年血管外科急诊患者情况复杂、严重，做好术前评估和围手术期伴随疾病的治疗能有效降低并发症的发生率。

Objective To find out the distribution of emergent cases of eldedy in vascular surgery and to evaluate the complications in peri-operation. Methods We retrospectively analyzed all the vascular emergency operations over 60 years old from Jan. 2006 to Oct. 2008 in Peking Union Medical College Hospital. Results The emergency operations were increased by 30% annually. The concomitant diseases in patients over the age of 60 are higher than those below 60, in which cardiac diseases included valvular disease of heart, eerebrovaseular disease and hypertension are most common. Meanwhile there is no significant in complications during peri-operation between patients over sixties and below sixties. Conclusion The evaluation before operation and treatment of concomitant diseases in elderly patients should be done in ahead perfectly in order to reduce the complications during perioperation.