ZHENG Chunhui,ZHANG Xiangyan.. Treatment strategy of the elderly patients with cardiac surgery[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2014, 44(11): 838-.
Abstract：Objective: To summarize the treatment strategy of the elderly patients with cardiac surgery by analyzing the perioperative care. Methods: From September 1 2010 to September 30 2013, 215 patients were undergone cardiac operations in our hospital. They were divided into young group (age≤44 y, 59 cases), middle-aged group (age between 45～59 y, 96 cases) and elderly group (age≥60 y, 60 cases). The postoperative hospital stay, postoperative mechanical ventilation time and intensive care time, drainage tube indwelling time and complication rate of elderly group were compared with the young group and middle-aged group. Results: Two hundred and fourteen cases were cured after operations and the cure rate was 99.5%. One case of elderly group died. The operative mortality in group was 1.7%. The postoperative mechanical ventilation time and intensive care time and drainage tube indwelling time of elderly group, except the postoperative hospital stay, were significantly longer then the young group and middle-aged group. Complication rate of elderly group was 45.0%. Conclusion: The surgical treatment is safe and effective to the elderly patients if the surgical indications, intraoperative and postoperative management are mastered well.
