Abstract: Prevention and treatment of postoperative complications of inguinal hernia repair in elderly patients        LI Hang-yu，WEI Shi-bo. Department of General Surgery，the Fourth Affiliated Hospital of China Medical University，Shenyang 110032，China
Corresponding author：LI Hang-yu，E-mail：li_hangyu@126.com
Abstract    Elderly patients with inguinal hernia account for the largest proportion of adult patients, so it is of great significance to reduce their postoperative complications. Due to the frailty of the elderly and the decline of physiological reserve capacity, postoperative complications are more likely to occur and the principle of prevention and treatment is unique. Among them, the risk of death from venous thromboembolism is the highest, which can be accurately prevented by perioperative physical examination, physical and chemical examination. Urinary retention is the most common, and targeted prevention and treatment measures should be taken. Delirium is a unique complication in the elderly. The incidence of delirium is hidden and needs close observation. In the process of diagnosis and treatment of elderly patients with inguinal hernia, surgeons are needed to improve their understanding of postoperative complications in the special group, so as to achieve accurate preoperative evaluation, active prevention, postoperative follow-up observation and timely treatment.

Key words: inguinal hernia, elderly people, postoperative complication, frailty, urinary retention, delirium

摘要： 老年腹股沟疝病人在成年病人中占比最高，减少其术后并发症发生具有重要意义。老年病人身体进入衰弱状态，生理储备能力下降，更易发生术后并发症，而且防治原则特殊。其中静脉血栓栓塞症致死风险最高，围手术期结合体格检查与实验室检查可精准预防；术后尿潴留最常见，应采取针对性防治措施；谵妄是老年病人独有的并发症，发病隐匿，须严密观察。在老年腹股沟疝病人的诊治过程中，外科医生须提高对这一特殊人群术后并发症的认识，做到术前准确评估、积极预防，术后随访观察、及时治疗。

关键词: 腹股沟疝, 老年病人, 术后并发症, 衰弱, 尿潴留, 谵妄