论文部分内容阅读
本文分析８９例农村老年阻塞性黄疸病人的临床资料。常见病因为胆结石，约占９０％；肿瘤引起的占１０％。由于老年人机体反应较迟钝，自觉症状和体征常不典型。加之农村病人就诊晚、病情重、并发病多，围手术期处理较为复杂。但农村老年人机体耐受力和抗病能力相对较强，大部分病人都能耐受手术，术后恢复亦较顺利。因此，笔者主张对于老年阻塞性黄疽病人，们应积极争取尽早手术。对病情严重，全身情况较差者，可先作经皮肝穿刺胆道引流，再抒期手术。本文还讨论了农村病人的抗生素选择问题。
This article analyzes 89 cases of elderly patients with obstructive jaundice clinical data. Common causes of gallstones, accounting for about 90%; tumors caused by 10%. Due to the slow response of the elderly body, symptoms and signs are often not typical. Coupled with the late arrival of rural patients, severe illness, concurrent disease, perioperative management more complicated. However, the tolerance and disease resistance of the elderly in rural areas are relatively strong, most patients can tolerate surgery, postoperative recovery is relatively smooth. Therefore, I advocate for the elderly patients with obstructive jaundice, they should actively seek early surgery. Serious illness, the general condition is poor, can be used for percutaneous transhepatic biliary drainage, and then express surgery. This article also discusses the issue of antibiotic selection in rural patients.