老年急腹症手术患者的麻醉处理

The Anesthesia Treatment of Elderly Patients With Acute Abdomen Surgery

目的：对老年急腹症手术的麻醉方法以及麻醉效果和安全性进行分析探讨。方法选取于2013年12月～2014年9月期间在我院住院治疗的40例老年急腹症手术患者，根据患者的临床特点以及病情等具体情况选择合适的麻醉方式，观察和分析麻醉的效果和安全性。结果所有的患者均已成功完成手术，手术期间没有死亡病例，也没有麻醉失败病例。除1例患者术后48 h死于多器官功能衰竭外，其余患者均已痊愈出院。结论对老年急腹症手术患者，根据患者的临床特点以及病情等具体情况选择合适的麻醉方式，能够避免或者减少并发症的发生情况，是提高急腹症手术手术成功率的保证。

Objective The anesthesia approach and its efficacy and safety in treatment of elderly patients operated with acute abdomen surgery are to be investigated. Methods Choose 40 elderly patients who are operated with acute abdomen surgery in hospital from December 2013 to September 2014 and cure them with proper anesthesia approaches on a basis of patients’ clinical symptom features and ilness condition. And then observe and analyze the efficacy and safety of anesthesia treatment.Results Al of patients underwent successful operations without one case in death for failed anesthesia. Al of patients are cured and discharged from hospital except for one patient who died from multi-organic failure after 48 hours of surgery.Conclusion Cure elderly patients of acute abdomen with proper anesthesia approaches with taking account of patients’ clinical symptom features and ilness condition into consideration is conducive to avoiding or reducing complication incidence and guaranteeing the success of acute abdomen surgery; therefore, it is quite worthwhile to be promoted and applied clinicaly.