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目的探讨80岁以上高龄患者普通胃镜检查的安全性及注意事项。方法对83例80岁以上高龄患者胃镜检查过程及结果进行回顾性分析。结果83例患者均完成检查。诊断食管炎6例,胃炎27例,溃疡病10例,恶性肿瘤29例,息肉8例,食管静脉曲张1例,吻合口炎症及狭窄各1例。3例出现下颌关节脱臼,术后给予成功复位。5例检查结束时出现胸闷不适,经吸氧、硝酸甘油含服迅速缓解。1例于检查结束后次日出现急性心肌梗死,经抢救无效死亡。结论80岁以上高龄患者行普通胃镜检查虽有一定风险,但术前做好充分的准备和沟通,术中熟练操作,减少刺激,缩短检查时间对确保胃镜检查的安全性非常重要。
Objective To investigate the safety and precautions of ordinary gastroscopy in elderly patients over 80 years old. Methods A retrospective analysis was made on the gastroscopy procedures and the results of 83 elderly patients over 80 years of age. Results 83 patients completed the examination. There were 6 cases of esophagitis, 27 cases of gastritis, 10 cases of ulcer disease, 29 cases of malignant tumors, 8 cases of polyps, 1 case of esophageal varices, 1 case of anastomotic inflammation and stricture. 3 cases of mandibular joint dislocation, postoperative successful reset. 5 cases of chest tightness at the end of an examination of discomfort, by oxygen, nitroglycerin with clothing quickly ease. One patient showed acute myocardial infarction on the next day after the examination and died after rescue. Conclusion Although elderly patients over 80 years of age with ordinary gastroscopy have some risks, but adequate preoperative preparation and communication, intraoperative proficiency, reduce irritation, shorten the examination time to ensure the safety of gastroscopy is very important.