摘要
目的探讨80岁以上高龄患者行心脏外科手术的围术期处理经验。方法自2001年6月至2009年6月，我院共为98例80岁以上高龄患者行心脏外科手术，其中男性60例，女性38例，年龄80～99岁，平均（83．17±5．38）岁。结果术后死亡8例，死亡率为8．16％。平均ICU滞留天数为（3．99±1．87）d，平均术后住院天数为（13．65±5．48）d。69例随访1—67个月，随访期死亡21例。结论80岁以上高龄患者行心脏外科手术仍有较高死亡率，术前应加强对心、肺等重要脏器功能的判断，术后积极处理和预防并发症的发生，以期进一步降低死亡率。
Objective To investigate the peri - operative treatments of cardiac surgery in octogenarians. Method From June,2001 to June,2009,98 patients 80 years of age or older who underwent cardiac operations were retrospectively analyzed. Among them, there were 60 males and 38 females with the average age being 83.17 ± 5.38 years（80 - 99 years）. Results The mortality was 8.16%. The average ICU stay was 3.99 ± 1.87 days. Mean postoperative hospital stay was 13.65 ± 5.48 days. Sixty - nine patients were followed up for 1 - 67 months. Twenty - one patients died during the follow - up period. Conclusion The mortality of cardiac operations was still high in octogenarians. Intensive perioperative treatment should be strengthened in octogenarians to reduce the morbidity and mortality after cardiac operations.
出处
《临床外科杂志》
2010年第1期37-39,共3页
Journal of Clinical Surgery
关键词
高龄患者
心脏手术
围术期处理
octogenarian
cardiac operations
peri - operative treatment
