Tokunaga S, Ohkawa M, Hirano S, Takashima M, Hirata A, Hisazumi H
Hinyokika Kiyo. 1986 Mar;32(3):423-31.
A clinical analysis was made on 44 inpatients over 80 years old at our department from 1980 to 1984. Forty-three urological surgeries were performed on 36 out of the 44 patients, accounting for 3.4% of all the inpatients. Benign prostatic hypertrophy, which was the most popular disease in our study, was seen in 20 patients. Preoperative examinations revealed one or more complications besides urological disorders in 35 patients (97.5%), 11 patients of which needed some prophylactic treatments prior to urological surgery. Although major postoperative complications consisted of heart disease in 4 patients, gastrointestinal tract disease in 3 patients, and pulmonary disease in 2 patients, there was no operative death. Postoperative laboratory test results revealed hypoproteinemia in 16 patients (44.4%). Postoperative urological complications such as wound dehiscence, urinary fistula, or acute epididymitis occurred in 9 patients, all of whom had urinary tract infections. These results suggest that aged patients have fewer problems if extensive preoperative examinations and active treatments for any abnormality are made and careful attention is paid to postoperative complications.
对1980年至1984年期间我科收治的44例80岁以上住院患者进行了临床分析。44例患者中有36例接受了43例泌尿外科手术，占同期住院患者总数的3.4%。良性前列腺增生是本研究中最常见的疾病，有20例患者。术前检查发现，35例患者（97.5%）除泌尿系统疾病外还存在一种或多种并发症，其中11例患者在泌尿外科手术前需要进行一些预防性治疗。虽然术后主要并发症包括4例心脏病、3例胃肠道疾病和2例肺部疾病，但无手术死亡病例。术后实验室检查结果显示16例患者（44.4%）出现低蛋白血症。9例患者出现术后泌尿外科并发症，如伤口裂开、尿瘘或急性附睾炎，所有这些患者均有尿路感染。这些结果表明，如果进行全面的术前检查并对任何异常情况进行积极治疗，同时密切关注术后并发症，老年患者出现的问题会更少。
