关键词: 老年人； 鼻； 围手术期； 并发症

Abstract:

Objective     To summarize the clinical features of nasal diseases in elderly patients so as to make the peri-operative treatment safe. Methods     The clinical data of 258 elderly inpatients suffering from nasal diseases during 2007 to 2009 were retrospectively analyzed. Results     In this cohort, 120(46.5%) patients suffered from nasal inflammation, 69 (26.7%)of them suffered from epistaxis, and 64(24.8%) from various tumors.  221(85.6%) were subjected to endoscopic therapy which belongs to the low danger category. It was found that 158(61.2%) of the patients were complicated with  chronic diseases, in which the major complications for the elderly were cadiovascular system diesease and diabetes. There was no statistic significance between gender and different disease groups. Two operations were postponed, and 9 were subjected to non-operative methods. Peri-operative complications happened in 3 of the elderly patients. Conclusions     Geriatric patients have their own specific pathophysiologics. In particular, more attention should be paid to the diagnosis and treatment of co-existent diseases and try to reduce surgical trauma in these elderly patients, which, in turn, can effectively  minimize surgical risk and postoperative complications.

Key words: Elder patient； Nose； Perioperative period； Complications