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局部麻醉下腹股沟疝修补术并缩短住院时间

[Inguinal herniorrhaphy under local anesthesia with short hospitalization].

作者信息

Pélissier E P, Girard J F

机构信息

Clinique Saint-Vincent, Besançon.

出版信息

Chirurgie. 1991;117(2):186-8; discussion 188-9.

PMID:1786741
Abstract

This prospective study gives short-term results of 208 inguinal herniorrhaphy performed under local anaesthesia. The median age of the 201 patients (186 M, 15 F) was 57 years (17-87). Local anaesthesia could not be achieved in 1 (0.5%) patient because he was panic-stricken. No serious complications occurred. Peroperative systemic hypotension with bradycardia occurred in 6 (3%) cases. Two (1%) benign postoperative sepsis and 9 (4%) hematoma occurred. The median postoperative hospital stay was 2.8 days (1-10). Twenty seven (13%) patients were discharged on the first postoperative day, 93 (46%) in a period of time less than or equal to 2 days, 147 (73%) in a period less than or equal to 3 days and 184 (91%) in a period less than or equal to 4 days.

摘要

这项前瞻性研究给出了208例在局部麻醉下进行腹股沟疝修补术的短期结果。201例患者(186例男性,15例女性)的年龄中位数为57岁(17 - 87岁)。1例(0.5%)患者因惊恐而无法实施局部麻醉。未发生严重并发症。6例(3%)患者术中出现全身性低血压伴心动过缓。发生2例(1%)良性术后脓毒症和9例(4%)血肿。术后住院时间中位数为2.8天(1 - 10天)。27例(13%)患者术后第1天出院,93例(46%)在小于或等于2天的时间段内出院,147例(73%)在小于或等于3天的时间段内出院,184例(91%)在小于或等于4天的时间段内出院。

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