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目的:观察经皮内镜下胃造口空肠置管术(PEJ)在高龄病人中应用的有效性和安全性。方法:回顾性分析55例行PEJ的高龄病人,年龄为75～97(83.1±6.9)岁。观察病人术前1 d与术后3个月的体重、血红蛋白、血清清蛋白和肺部感染发生率的变化。结果:手术成功率为100%,病人术后无严重并发症,发生轻微并发症共4例。术后3个月病人体重、血红蛋白、血清清蛋白较术前1 d显著增高,肺部感染率明显降低。结论:对高龄病人行PEJ手术,操作简便、安全、有效、并发症发生率低。
Objective: To observe the effectiveness and safety of percutaneous endoscopic gastrostomy jejunal catheterization (PEJ) in elderly patients. Methods: Retrospective analysis of 55 cases of elderly patients with PEJ, aged 75 to 97 (83.1 ± 6.9) years. The changes of body weight, hemoglobin, serum albumin and the incidence of pulmonary infection were observed on the first day and the third month after operation. Results: The success rate of surgery was 100%. There were 4 patients with no serious complications and mild complications after operation. At 3 months after operation, the body weight, hemoglobin and serum albumin were significantly higher than those at 1 d before operation, and the pulmonary infection rate was significantly lower. Conclusion: The PEJ operation in elderly patients is simple, safe and effective, and the complication rate is low.