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1981年1月至1990年1月我院外科行老年急腹症手术242例,术后并发霉菌感染10例,占4.13%。现分析报道如下。 1 临床资料年龄、性别:男性6例,女性4例。年龄60～82岁,平均70.5岁。急腹症诊断及手术情况:急性化脓性胆囊炎合并AOSC5例(其中3例有中毒性休克);急性积脓型胆囊炎、十二指肠溃疡并发急性上消化道大出血行急症胃大部切除术后残胃小弯关闭缘出血、急性水肿型胰腺炎、乙状结肠过长扭转并发急性肠梗阻、急性穿孔性阑尾炎合并局限性腹膜炎等各1例。急症手术情况:胆囊切除加胆总管切开T管引流1例;胆囊造口加胆总管切开T管引流3例;剖腹探查加阑尾切除及腹腔引流2例;乙
From January 1981 to January 1990, 242 cases of elderly patients with acute abdomen surgery were treated in our hospital. 10 cases were complicated with mold infection after operation, accounting for 4.13%. Now analysis reports as follows. 1 clinical data age, gender: 6 males and 4 females. Age 60 to 82 years, an average of 70.5 years old. Acute abscess cholecystitis with AOSC 5 cases (including 3 cases of toxic shock); Acute suppurative cholecystitis, duodenal ulcer complicated by acute upper gastrointestinal tract hemorrhage Acute subtotal gastrectomy Postoperative residual small bends close edge bleeding, acute edematous pancreatitis, sigmoid colon torsion complicated by acute intestinal obstruction, acute perforation appendicitis with localized peritonitis and other 1 case. Emergency surgery: cholecystectomy plus common bile duct T tube drainage in 1 case; cholecystectomy plus common bile duct T tube drainage in 3 cases; laparotomy plus appendectomy and abdominal drainage in 2 cases; B