Elderly abdominal surgery perioperative.docVIP

 PAGE \* MERGEFORMAT 8 Elderly abdominal surgery perioperative [Keywords:] elderly abdominal surgery perioperative As the old functions of various organs showed degenerative changes, combined with a variety of combined primary disease, leading to the elderly abdominal surgery in the treatment process complexity, risk, therefore, do a good job of perioperative complications in the prevention and treatment are ensure that the key to successful operation. Is now nearly 5 years in our hospital of elderly people admitted to treatment of 264 cases of abdominal surgery clinical data analyzed and summarized, the report is as follows. 1 Data and methods 1.1 General information This group of 264 cases in men and 173 cases, female 91 cases, aged 60 to 89 years with an average age of 66. Of which 67 cases of gallbladder stones, common bile duct stones in 22 cases, 57 cases of acute appendicitis, inguinal hernia in 47 cases, 5 cases of gastric ulcer, duodenal ulcer perforation in 6 cases, colon cancer, 8 cases, 7 cases of rectal cancer, gastric cancer, 36 cases 5 cases of pancreatic cancer, 4 cases of necrotizing pancreatitis. The coexistence of disease before surgery: The blood pressure of 108 cases (40.9%), heart disease, 59 patients (22.3%), diabetes mellitus 46 cases (17.4%), respiratory diseases, 32 cases (12.1%), liver and renal dysfunction 65 patients ( 24.6%), anemia, and hypoalbuminemia 48 cases (18.2%), in which the coexistence of two or more disorders were 57 patients (21.6%). 1.2 Treatment This group of patients with preoperative routine examination electrocardiogram, chest radiograph, blood, blood clotting mechanisms, if any disease or the coexistence of a larger operation check the liver and kidney function, electrolytes, blood glucose, blood lipids, heart and lung functions. Preoperative monitoring of blood pressure in hypertensive patients in order to 140/90 ~ 130/80mmHg for blood pressure targets, if the blood pressure is higher than 180/110mmHg, the