中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
12期
15-16
,共2页
余俊英%A.BEN.ALI
餘俊英%A.BEN.ALI
여준영%A.BEN.ALI
非洲%科摩罗%老年患者%围手术期处理
非洲%科摩囉%老年患者%圍手術期處理
비주%과마라%노년환자%위수술기처리
Africa%Comoros%Geriatric patient%Surgical operation management
目的:探讨降低非洲欠发达地区老年患者围手术期风险的措施。方法:回顾2012年8月-2014年2月科摩罗HOMBO医院38例老年患者手术资料,分析其围手术期的安全性和处理。结果:择期手术患者,应用快速康复外科,术后30 d内一般性并发症发生率26.67%,严重并发症1例,死亡0例;急诊手术患者,胃肠穿孔3例皆行造瘘术,术后30 d内一般性并发症发生率37.50%,严重并发症2例,死亡2例。输新鲜全血者10例。结论:非洲欠发达地区老年患者在围手术期风险大,尤其急诊手术,合理地避免急诊手术、多造瘘、相对积极地输新鲜全血、应用快速康复外科有利于降低围手术期风险。
目的:探討降低非洲欠髮達地區老年患者圍手術期風險的措施。方法:迴顧2012年8月-2014年2月科摩囉HOMBO醫院38例老年患者手術資料,分析其圍手術期的安全性和處理。結果:擇期手術患者,應用快速康複外科,術後30 d內一般性併髮癥髮生率26.67%,嚴重併髮癥1例,死亡0例;急診手術患者,胃腸穿孔3例皆行造瘺術,術後30 d內一般性併髮癥髮生率37.50%,嚴重併髮癥2例,死亡2例。輸新鮮全血者10例。結論:非洲欠髮達地區老年患者在圍手術期風險大,尤其急診手術,閤理地避免急診手術、多造瘺、相對積極地輸新鮮全血、應用快速康複外科有利于降低圍手術期風險。
목적:탐토강저비주흠발체지구노년환자위수술기풍험적조시。방법:회고2012년8월-2014년2월과마라HOMBO의원38례노년환자수술자료,분석기위수술기적안전성화처리。결과:택기수술환자,응용쾌속강복외과,술후30 d내일반성병발증발생솔26.67%,엄중병발증1례,사망0례;급진수술환자,위장천공3례개행조루술,술후30 d내일반성병발증발생솔37.50%,엄중병발증2례,사망2례。수신선전혈자10례。결론:비주흠발체지구노년환자재위수술기풍험대,우기급진수술,합리지피면급진수술、다조루、상대적겁지수신선전혈、응용쾌속강복외과유리우강저위수술기풍험。
Objective:To explore the measures of reducing the risks of geriatric patient during the perioperation in the undeveloped region of Africa.Method:38 old patients were collected and analyzed who underwent general surgical operations from August 2013 to February 2014 in hospital HOMBO Comoros.Result:Old patients with time selecting operation were given fast track surgery,the incidence of slight complication within 30 days postoperatively was 26.67%,one case got severe complication,there was no death;the other old patients taken emergence operation,3 cases was gastric-intestinal perforation,and got fistulation,the incidence of slight complication within 30 days postoperatively was 37.50%,2 cases got severe complication and 2 cases died due to severe complications;10 cases were offered transfusion of fresh whole blood.Conclusion:The risks of geriatric patient during the perioperation are higher in the undeveloped region of Africa,avoiding properly emergence operation,gastrointestinal colostomy, giving actively fresh whole blood,applying fast track surgery may reduce the risks.