腹腔镜胆囊切除术526例临床分析
The Incidence Rate and the Risk Factors of Postoperative Delirium in the Young and the Middle-aged Elective Noncardiac Surgical Patients
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摘要: ［摘要］目的 再认识腹腔镜（LC）手术中的重要解剖结构，以总结手术经验．方法 回顾性分析2002年6月至2010年6月，共施行的526例LC手术的手术过程．结果 顺利完成LC手术498例（94.6%），中转开腹手术28例（5.4%），其中包括22例急性炎症期的胆囊炎，16例在解剖Calot三角时以及剥离胆囊床出血，而中转开腹手术．术后发生胆瘘2例，经充分引流后治愈．胆管损伤1例，行胆肠吻合后治愈．结论 LC手术过程中清晰的解剖关系是减少中转开腹发生率和并发症的关键之一Abstract: Objective To explore the incidence rate and the risk factors of postoperative delirium in the young and the middle-aged elective noncardiac surgical patients.Methods A cluster sampling method was adopted in this cross-sectional study.1 276 patients,aged from18 to 50,undergoing elective noncardiac surgery were recruited from March to June,2010.The patients with delirum or diagnosed as dementia,depression,and cognitive dysfunction before operation were ruled out in this study.The enrolled patients were interv...
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