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论老年胆道手术:适应证、风险群体、结果(作者译)

[On biliary surgery in old age: indications, risk groups, results (author's transl)].

作者信息

Magistris F

出版信息

Zentralbl Chir. 1977;102(5):314-20.

PMID:868326
Abstract

Report on 179 operations on the biliary tract of patients over 70 years old. The significance of a preparation specific to the case, general anaesthesia and a quick technique of operation avoiding additional stress is emphasized. Special attention is devoted to postoperative treatment. The main complications in old age patients are still caused by postoperative azotemia due to the hepatorenal syndrome. The concentration of geriatric surgery at decentralized service units is suggested.

摘要

70岁以上患者179例胆道手术报告。强调针对具体病例的准备、全身麻醉以及避免额外应激的快速手术技术的重要性。特别关注术后治疗。老年患者的主要并发症仍由肝肾综合征导致的术后氮质血症引起。建议将老年外科手术集中在分散的服务单位进行。

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