高龄直肠癌合并COPD病人围手术期处理  

The Perioperative Management of the Elderly Patients with Chronic Obstructive Pulmonary Disease (COPD) and Rectal Carcinoma

作　　者：王建平[1] 樊理华[1] 纪建松[1] 朱锦德[1] 任翔英[1] 邵初晓[1] 

机构地区：[1]浙江丽水市中心医院温州医学院附属第五医院,323000

出　　处：《大肠肛门病外科杂志》2005年第3期190-192,共3页Journal of Coloproctological Surgery

摘　　要：目的探讨高龄直肠癌合并COPD病人围手术期处理。方法回顾性分析1999年6月至2004年6月间收治的25例70岁以上有合并COPD的直肠癌病人的外科治疗。结果25例均伴有不同程度慢支、肺气肿等慢阻肺病史,其中慢阻肺分级中0级2例、I级5例、A级11例、B级5例、级2例;术后并发症有伤口裂开1例、伤口感染2例,肺部感染8例,呼吸衰竭2例,无围手术期死亡。结论虽然合并COPD病人增加了手术风险,但术前全面了解病情,积极的术前、术中、术后处理可大大提高手术成功率,降低手术并发症发生率。Objective： To explore the perioperative management of the elderly patients with COPD and Rectal carcinoma. Methods： From June 1999 to June 2004, 25 patients over 70 years old with rectal carcinoma and COPD received surgical treatment. Data of them were analyzed retrospectively. Results ：The coexisting diseases included different extent chronic bronchitis and pulmonary emphysema in all of 25 cases. The grades of COPD were as follow： 2 cases of grade 0, 5 cases of grade Ⅰ, llcases of grade ⅡA, 5 cases of grade Ⅱ B, 2 cases of grade Ⅲ. Postoperative complications included wound dehiscence （1 cases）, wound infection （2 cases）, pneumonia （8 cases）, respiratory failure （2 cases）, No death in perioperative period. Conclusion： COPD increase the surgical risk of elderly patients. But complete assessment of Patient＇s general health and preioperative management can raise the success rate of operation and decrease the incidence of complications.

关 键 词：直肠癌 老年病 COPD 同手术期 

分 类 号：R735.37[医药卫生—肿瘤]