Patients over 80 years the clinical application of therapeutic ERCP and prevention of complications.doc

 PAGE \* MERGEFORMAT 8 Patients over 80 years the clinical application of therapeutic ERCP and prevention of complications Of: Tibetan Yu Wei Yi Lan Ye Chunfu had [Keywords:] endoscopic retrograde cholangiopancreatography; security; complications June 2008-March 2010 our hospital suffering from a variety of pancreatobiliary disorders in patients aged over 80 had therapeutic Endoscopic Retrograde Cholangiopancreatography (ERCP). 1 Subjects and methods 1.1 The objects were 80 elderly patients over the age of the line therapeutic ERCP 58 cases. Aged 80 to 93 years, 85 to 93 years in 12 cases (21.4%). Before the clinical diagnosis in the treatment of lesions in 11 cases for the ampulla, common bile duct stones 12 cases of unknown causes in 15 cases of obstructive jaundice, biliary abdominal pain in 8 cases. All patients had varying degrees of heart and lung disease, including 5 patients with old myocardial infarction, coronary heart disease in 8 cases of various arrhythmias, coronary heart disease and ( or) hypertension in 31 cases, 7 cases of chronic bronchitis. 1.2 In addition to preoperative preparation method for routine preoperative ERCP, all elderly patients need to be line of ECG, Chest, echocardiography, pulmonary function and other tests. Arrhythmia, hypertension, myocardial ischemia in patients before surgery is should be actively treated, in order to achieve compliance ERCP examination conditions. bend forward surgery in all patients supine exercise, oxygen conditions in the prone position best togt; = 1 h, should also reach at least 30 min. 30 min before surgery muscle Note pethidine hydrochloride 50 mg, diazepam 10 mg, or Nuosi Pa 80 mg. oral endoscopic plastic multi-effect. 1.3 operation and intraoperative monitoring routine operation in advance by ERCP contrast, according to real-time diagnostic imaging, treatment methods combined with medical history. Cardiopulmonary disease control in the preoperative patients is not ideal, be