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内窥镜逆行胰胆管造影(ERCP)在胰胆管疾病治疗中的作用是肯定的,但在老年病人中的作用还未被估价。本文对老年病人进行前瞻性研究,并把ERCP与超声波、肝功能试验,在敏感性和特异性方面作了对照,还调查了该检查的安全性和治疗效果。病人和方法对54例65~94岁住在专门病房的老年病人进行一年以上调查,其中女30例,男24例,17例年龄80岁以上。ERCP前作血常规、凝血机制、肝功能试验和腹部超声波(5MHz型)检查。 ERCP是在静脉注入镇静剂咪达唑仑2~5mg
The role of endoscopic retrograde cholangiopancreatography (ERCP) in the treatment of pancreaticobiliary diseases is yes, but its role in elderly patients has not yet been evaluated. In this paper, a prospective study of elderly patients and ERCP and ultrasound, liver function tests in terms of sensitivity and specificity were compared, but also investigated the safety of the inspection and treatment. Patients and Methods A total of 54 elderly patients aged 65-94 years living in specialized wards were investigated for more than one year, including 30 females, 24 males and 17 aged 80 years and older. ERCP before blood routine, coagulation mechanisms, liver function tests and abdominal ultrasound (5MHz type) examination. ERCP is intravenous sedatives midazolam 2 ~ 5mg