Care in elderly patients after abdominal surgery（腹部手术后护理在老年患者）.doc

Care in elderly patients after abdominal surgery With the trend of an aging population, the proportion of elderly patients to be surgery is increasing due to the pathophysiologic characteristics of the elderly patient, postoperative complications than other age groups. I care for nearly a year of 85 cases of elderly patients undergoing abdominal surgery is now Nursing of the report are as follows: 1 clinical data 1.1 General information on 85 cases of male and 57 cases and 28 females, age 86 years, minimum 60 years of age including 32 cases of appendicitis, gastroduodenal perforation in 18 cases, 15 cases of gastric cancer, intestinal obstruction, eight cases of hernia in 4 cases, .85 cases of the other eight cases preoperative associated with 38 cases of other diseases, accounting for 44.7%, such as diabetes, hypertension, fatty liver, coronary heart disease, chronic bronchitis, pulmonary heart disease. 1.2 methods of care 1.2.1 before-surgery care carefully read the medical records, the checklist, a single laboratory, to talk with patients and their families, fully familiar with the patient’s condition and its complications, targeted health education, guiding patients to quit smoking, exercise effective coughing, deep breathing exercise , grasp the skills of expectoration, coronary heart disease, preoperative oral drug to improve myocardial ischemia, and regularly review the efficacy of ECG observation, antihypertensive therapy in hypertensive patients before surgery, blood pressure every morning and evening, when the near-normal blood pressure then underwent surgery, diabetes mellitus, focusing on dietary guidance, use of antidiabetic drugs prescribed by a doctor, to reduce the hyperlipidemia those of a variety of infections, anemia and low protein, in addition to reasonable changes in diet, I transfusions lose albumin, rehydration to correct. 1.2.2 post-operative care of the circulatory system observation and care of elderly patients aft