摘要
本文分析８９例农村老年阻塞性黄疸病人的临床资料。常见病因为胆结石，约占９０％；肿瘤引起的占１０％。由于老年人机体反应较迟钝，自觉症状和体征常不典型。加之农村病人就诊晚、病情重、并发病多，围手术期处理较为复杂。但农村老年人机体耐受力和抗病能力相对较强，大部分病人都能耐受手术，术后恢复亦较顺利。因此，笔者主张对于老年阻塞性黄疽病人，们应积极争取尽早手术。对病情严重，全身情况较差者，可先作经皮肝穿刺胆道引流，再抒期手术。本文还讨论了农村病人的抗生素选择问题。
rural elderly cases with obstructive juandice were clinically analysed in the Pa-Per.Cholelithes were common cause for the obetructive juandice, occupying 90%, Tumors were therest 10%causing the disease, Symptoms and signs were often not typical in elderly, and porisurgerymanagement was more complex due to patient`s later visit with severe condition and more coInplica-tions. But the rural elderly still could stand the operation and recover smcothly. So authors suggestedthat surgery could be earlier provided for the rural elderly with the obstructive juandice. Petcutaneoustranshepatic cholangicatomy and drainage might be suited to potients who might not temporarily re-ceived the operation. Use of antibiotics was discussed in the paper.
出处
《九江医学》
1994年第4期241-243,共3页
Jiujiang Medical Journal
关键词
阻塞性
黄疸
胆石症
老年人
农村
肿瘤
临床分析
obostructive juandice
cholelithe
elderly/rural
clinical feature
treatment
