老年人出血坏死性胰腺炎的手术治疗

Operative Treatment of Hemorrhagic Necrotic Pancreatitis in the Elderly

我院1974年1月～1990年3月,治疗60岁以上经手术探查证实的出血坏死性胰腺炎(HNP)19例。分析本组资料,我们认为对老年人 HNP 的手术治疗应根据老年人特点合理选择术式,早期明确诊断,早期手术,有利于降低手术死亡率。针对老年人 HNP 术前多合并有心、肺、肾等重要器官的慢性病症以及器官储备功能、免疫功能减退的特点,术中及术后应及时采取各种有效预防措施,减少术后并发症。“三造瘘”对老年人 HNP 的治疗具有重要意义,值得积极采用。

From Jan.1974 to Mar.1990,19 old patients aging more than 60 years with he-morrhagic necrotic pancreatitis(HNP)were confirmed by operative exploration.Itwas considered that election of operative procedures should be reasonable in the trea-tment of old patients with HNP according to the characteristics of old patients.Early diagnoses and early operation were beneficial to reduce operative mortality.In view of the accompanied chronic diseases of the heart,lung,kidney,and othervital organs and the characteristics of reduced function of reserve and organ immu-nity in old patients active steps should be taken during and after operation in orderto reduce complications.3 “-ostomies”had significance and worth being recommendedin the treatment of old patients with HNP.