老年病人腹股沟疝修补术后并发症预防与治疗  

Prevention and treatment of postoperative complications of inguinal hernia repair in elderly patients

作　　者：李航宇[1] 魏士博[1] LI Hang-yu;WEI Shi-bo(Department of General Surgery,the Fourth Affiliated Hospital of China Medical University,Shenyang 110032,China)

机构地区：[1]中国医科大学附属第四医院普外科,辽宁沈阳110004

出　　处：《中国实用外科杂志》2020年第7期785-787,共3页Chinese Journal of Practical Surgery

基　　金：辽宁省重点研发计划指导计划立项项目(No.2017225006)。

摘　　要：老年腹股沟疝病人在成年病人中占比最高,减少其术后并发症发生具有重要意义。老年病人身体进入衰弱状态,生理储备能力下降,更易发生术后并发症,而且防治原则特殊。其中静脉血栓栓塞症致死风险最高,围手术期结合体格检查与实验室检查可精准预防;术后尿潴留最常见,应采取针对性防治措施;谵妄是老年病人独有的并发症,发病隐匿,须严密观察。在老年腹股沟疝病人的诊治过程中,外科医生须提高对这一特殊人群术后并发症的认识,做到术前准确评估、积极预防,术后随访观察、及时治疗。Elderly patients with inguinal hernia account for the largest proportion of adult patients,so it is of great significance to reduce their postoperative complications.Due to the frailty of the elderly and the decline of physiological reserve capacity,postoperative complications are more likely to occur and the principle of prevention and treatment is unique.Among them,the risk of death from venous thromboembolism is the highest,which can be accurately prevented by perioperative physical examination,physical and chemical examination.Urinary retention is the most common,and targeted prevention and treatment measures should be taken.Delirium is a unique complication in the elderly.The incidence of delirium is hidden and needs close observation.In the process of diagnosis and treatment of elderly patients with inguinal hernia,surgeons are needed to improve their understanding of postoperative complications in the special group,so as to achieve accurate preoperative evaluation,active prevention,postoperative follow-up observation and timely treatment.

关 键 词：腹股沟疝 老年病人 术后并发症 衰弱 尿潴留 谵妄 

分 类 号：R6[医药卫生—外科学]