简介:摘要目的探讨80岁以上患者行腹部手术的围术期的管理.方法对我院有完整临床资料的66例80岁以上患者行腹部外科手术完整临床资料,进行总结.结果66例患者均有不同程度并存疾病,术后有36例发生并发症,65例治愈出院,1例死亡.结论超高龄患者并非手术禁忌症,只要认真做好术前准备,术后加强对并存疾病的治疗,积极预防和处理术后并发症,尽可能减少急诊手术的机会,大都可取得满意的治疗效果.关键词超高龄;腹部外科;围手术期Clinicalsumarryofabdominalperioperativemanagementfor66over-agedpatientsPengjing,GaoNairong.Departmentofgeneralsurgery,nanjingtongrenhospitalattachedmedicalcollegeofsoutheastuniversityAbstractObjectiveToinvestigatetheoperativeindicate,operativemethodandperioperativemanagementinpatientsover80years.MethodsTheclinicaldataof66patientsagedover80yearsundergoingabdominalsurgerywereanalysedandsummar-izedretrospectively.ResultsAllof66over-agedhadcoexisteddisease,andthen36ofthemhadpost-operativecomplication;65patientswerecured,and1died.ConclutionOver-agedpatientarenotcontraindicationofoperGation,justonlytomakegoodpreparationbeforeoperation,tostrengthentreatmentofcoexisteddiseased,topreventandhandlepostoperativecomplicationandtoreduceKtehyeweomrdesrgentsurgeryasfaraspossible,thenthatwillgetasatisfactoryeffect.Over-aged;Abdominalsurgery;Perioperation中图分类号R473.6文献标识码A文章编号1008-6315(2015)10-0479-02