中国实用内科杂志2009，Vol.29Issue(11)：1039-1041,3.
90岁以上高龄患者治疗性ERCP安全性分析
Analysis of safety of therapeutic ERCP in 90 years of age and older
王雪峰 1周迪 1顾均 1庄明 1张文杰 1沈军 1施伟斌1
作者信息
- 1. 上海交通大学新华医院,上海,200092
- 折叠
摘要
Abstract
Objective To evaluate the curative effect and safety of emergency therapeutic endoscopic retrograde holangiopancreatography (ERCP) and treatment strategy of mobidity and combined diseases for patients aged over 90. Methods The clinical and follow-up data of 116 cases treated by ERCP from January 2002 to December 2006 were analyzed retrospectively. Results The success rate was 97.41% for biliary drainage. The occurrence rate of mobidity was 21.24%
(24/113),of which 6 cases of acute pancreatitis (25.00%),2 cases of upper gastrointestinal bleeding (8.33%), 12 cases of electrolyte disorders (50.00%),acid-base balance disorders in 4 cases (16.67%). Except the higher incidence of hypokalemia disorders of emergency group than out-patient group (P=0.003), the rest of the mobidity rates were similar in the two groups. The mortality rate and deterioration rate of combined disease between the two groups were also similar. Conclusion Simplify operations,rapid drainage,positive preoperative preparation can effectively reduce the incidence of mobidity and avoid the aggravation of combined diseases. Emergency ERCP for treatment of patients aged over 90 is safe and effective.关键词
经内镜逆行胰胆管造影/90岁以上患者/安全性/并发症Key words
ERCP/ patients aged over 90/ safety/ mobidity分类
医药卫生引用本文复制引用
王雪峰,周迪,顾均,庄明,张文杰,沈军,施伟斌..90岁以上高龄患者治疗性ERCP安全性分析[J].中国实用内科杂志,2009,29(11):1039-1041,3.
