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目的:分析老年人梗阻性黄疸的临床特点,探讨围手术期的预防措施。方法:回顾性分析本院1991～2010年手术治疗的老年人梗阻性黄疸190例,其中胆石病105例,恶性肿瘤85例。结果:胆石病治愈71例,出现并发症32例;恶性肿瘤术后生存期3～6个月32例,7～12个月23例,12～24个月15例,24～36个月15例,平均生存期11个月,无手术死亡。结论:老年人梗阻性黄疸的术后并发症与术前体质基础有关,因此积极做好围手术期的处理可以明显改善预后。
Objective: To analyze the clinical features of obstructive jaundice in the elderly and to discuss the perioperative preventive measures. Methods: Retrospective analysis of 190 cases of obstructive jaundice in elderly patients surgically treated in our hospital from 1991 to 2010, including 105 cases of cholelithiasis and 85 cases of malignant tumors. Results: There were 71 cases of gallstone disease and 32 cases of complications. The survival time of malignant tumor was 32 cases 3-6 months after operation, 23 cases were 7-12 months, 15 cases were 12-24 months, 24-36 months 15 For example, the average survival of 11 months, no operative death. Conclusion: The postoperative complications of obstructive jaundice in the elderly are related to the preoperative constitutional basis. Therefore, actively performing the perioperative management can obviously improve the prognosis.