Ouyang D, Qiu H, Lu X, Long M
Department of Surgery, Xiangya Hospital, Hunan Medical University, Changsha 410008.
Hunan Yi Ke Da Xue Xue Bao. 1999;24(2):181-2, 210.
The reasons of complications and deaths in 98 aged patients with obstructive jaundice were analysed in the paper. Among them, 52 cases were diagnosed as benign obstruction, 46 cases as malignant obstruction; 92 patients were treated by surgical management(15 died), 6 patients were treated without operation(4 died). The results showed that effective management on time and intensive perioperative care are important to minimize the mortality rate. Malignant obstructive jaundice was more harmful to the patients' renal function no the mortality rate would be increased. The operations, internal drainage and pressure reduction of biliary duct, were performed on time, thus the survival rate was improve.
本文分析了98例老年梗阻性黄疸患者发生并发症及死亡的原因。其中，52例诊断为良性梗阻，46例为恶性梗阻；92例患者接受了手术治疗（15例死亡），6例未接受手术治疗（4例死亡）。结果表明，及时有效的治疗和围手术期的精心护理对于降低死亡率至关重要。恶性梗阻性黄疸对患者肾功能的损害更大，死亡率也会增加。及时进行胆管内引流和减压手术可提高生存率。
