超高龄病人腹部外科手术的围术期处理

Perioperative management of abdoimal surgery in over-aged patients

目的 探讨 80岁以上超高龄病人外科手术的围手术期处理及手术指征。方法 回顾性分析 2 5例 80岁以上超高龄病人腹部外科手术情况。结果 胆道手术 (8例 ) ,胃癌、贲门癌手术 (13例 ) ,食管扒脱术 (1例 ) ,肠道手术 (3例 )。手术治愈 2 4例 (96 % ) ,术后死亡 1例 (4 % )。结论 超高龄病人并存病多 ,术后并发症多 ,必须强化围手术期处理 ,尽可能做择期手术 ,减少急诊手术 ,重视白蛋白的补充 。

Objective To study the perioperative management of abdominal surgery in patients aged over 80 years. Methods The cliuical data of 25 patients aged over 80 years undergoing abdominal surgery were analysed retrospectively. Results Of the 25 patients, 8 subjected to biliary surgery, 13 gastiic cancer or cardiac cancer surgery, 1 esophageal cancer surgery, 3 intestinal surgery. 24 patients(96%) were cured; one died postoperalively.Conclusions In over aged patieats, they have more coexite diseases, and more postoperative complications, so extensive perioperative management, choice of selective operation, reducing of emergent operation, and giving albumin to help the recovery of tissues are essential.