超高龄胆道结石致重症胆管炎围术期的护理  

THE PERI-OPERATIVE NURSING CARE FOR SUPER OLD PATIENTS WITH ACUTE SEVERE CHOLANGITIS INDUCED BY BILIARY CALCULI

作　　者：刘俐敏[1] 杨虹霞[1] 许芬[1] 郑映玲[1] 刘晓燕[1] 陈佳丽[1] 

机构地区：[1]汕头大学医学院第二附属医院,广东汕头515041

出　　处：《现代医院》2010年第4期103-105,共3页Modern Hospitals

摘　　要：目的分析超高龄胆道结石致重症胆管炎(acute cholangitis of severetype ACST)患者疾病的特点以及探讨胆道手术围术期的护理措施。方法回顾分析60例80岁以上胆道结石致重症胆管炎患者的临床资料。结果手术60例中术后并发症46例:其中水电解质平衡紊乱16例,以低钾低钠血症多见;肺炎15例;切口感染以及脂肪液化12例;炎性肠梗阻3例。部分病人同时存在1种或1种以上的并发症。60例病人中死亡1例。结论要重视超高龄胆道结石致重症胆管炎患者围手术期的积极处理,术前及时处理并存病,术后严密监测生命体征,做好预见性护理,确保围手术期安全,减少并发症是重要关键。Objective To analyze the charactaristic of the super old patients with acute cholangitis of severe type induced by biliary calculi and discuss the nursing strategies of the biliary perioperative periods. Methods A retrespective analysis has been made for the clinic records of 60 super old patients with acute cholangitis of severe type induced by biliary calculi. Results Among 60 cases with biliary operation, it appeared postoperative complications in 46cases, waterelectrolyte imbalance in 16 cases, most of which were hypokalemia or hyponatremia, pneumonia in 15 cases, incision infection and postoperative subcutaneous hydrops in 12 cases, inflammatory intestinal obstruction in 3 cases. Some patients had more than one kind of complications. 1 case dies for the acute renal function failure. Conclusion It should be paid more attention to the treatment strategies of patients of biliary system in peri - operative periods, especially for the super old patients. It is very important to make treatment actively for the concurrent diseases in pre - operative period, inspect rigorously with the physical signs in postoperative period, improve the strategies of forecasting nursing, so as to make sure the security of patients in peri - operative periods and reduce complications.

关 键 词：超高龄 重症胆管炎 胆道结石 围术期护理 

分 类 号：R657.45[医药卫生—外科学]