75 elderly people over the age of laparoscopic cholecystectomy in Perioperative Nursing.docVIP

 PAGE \* MERGEFORMAT 6 75 elderly people over the age of laparoscopic cholecystectomy in Perioperative Nursing [Keywords:] 75 elderly people over the age of laparoscopic cholecystectomy in Perioperative Nursing Our hospital from January 2000 to August 2008 a total of 75 elderly people over the age of laparoscopic cholecystectomy in 41 cases, supplemented by a positive perioperative care, better results are reported as follows. A clinical data In this group in our hospital for laparoscopic cholecystectomy in elderly patients of 41 patients, male 18 cases, 23 females, aged 75 to 91 years old, with an average 79.2 years old, underwent preoperative ultrasonography and CT diagnosis B, in which cholecystitis , 20 cases of gallstones, gallbladder polyps, 21 cases were elective surgery. Combined with hypertension, coronary heart disease, pulmonary heart disease, 20 cases; three cases of pulmonary emphysema; two cases of liver injury; diabetes, 8 cases; combined sinus bradycardia in 3 cases; one cases of ventricular premature beats; artery atherosclerosis in 4 cases. All patients after laparoscopic cholecystectomy, all successfully discharged. 2 Care 2.1 Preoperative Care (1) because the elderly exist in varying degrees in various organs of the aging phenomenon, hearing, vision problems, poor communication with the outside world, the lack of understanding of the surgery, some patients even psychological barriers, such as fear, anxiety and so on. In response to these circumstances, we must first enable elderly people to adapt to the environment, many with their contacts, exchanges, communication, grasp the psychological dynamics, patiently explained to ward environment and the note to introduce the advantages of laparoscopic surgery, so that lifting of psychological disorder in patients with and happy to accept the surgery. (2) The correct assessment of preoperative surgical patient tolerance, if necessary, please anesthesia, heart medicine and respiratory medici