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目的回顾性分析70岁以上老年腹部急诊手术病例特点,探讨急诊围手术期风险及对策。方法回顾性分析我院2007年5月至2009年10月间70岁以上老年急诊腹部手术84例的术前伴随疾病、术后并发症、死亡率进行分析。结果几乎全部病例伴有伴随疾病,术后并发症中呼吸道并发症发生率较高,伴有休克病例死亡率较高。结论 70岁以上老年患者急诊腹部手术患者伴随疾病多,术后并发症及死亡率较高,需果断掌握手术时机。
Objective To retrospectively analyze the characteristics of emergency abdominal surgery patients over the age of 70 and discuss the perioperative emergency risk and countermeasures. Methods A retrospective analysis of our hospital from May 2007 to October 2009 over the age of 70 elderly emergency abdominal surgery in 84 cases of preoperative companion disease, postoperative complications and mortality were analyzed. Results Almost all the cases were accompanied by accompanying diseases. The incidence of postoperative complications was higher in respiratory complications, and the mortality rate was higher in shock patients. Conclusion The elderly patients over 70 years old with emergency abdominal surgery patients with more diseases, higher postoperative complications and mortality, the need to decisively grasp the timing of surgery.