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作 者:陈君填[1] 李威[1] 曾永明[1] 郭毓文[1] 吴宝安[1] 李欣欣[1] 陈广灿[1]
机构地区:[1]汕头大学医学院第一附属医院普外科,广东省汕头515041
出 处:《中国基层医药》2007年第5期789-791,共3页Chinese Journal of Primary Medicine and Pharmacy
摘 要:目的 探讨高龄胃肠道肿瘤患者的围手术期处理。方法 回顾性分析1998年1月至2006年10月治疗的70岁以上高龄胃肠道肿瘤手术患者72例围手术期处理。结果 并存心脏病23例,高血压20例,糖尿病15例,呼吸系统疾病12例,贫血11例,肾功能异常8例,低蛋白血症45例。术后并发症:肺部感染15例,心功能不全5例,肠瘘2例,切口裂开4例,切口感染6例。术后死亡2例,愈合后将近出院时出现脑梗死及肺栓塞死亡2例。结论 高龄患者营养状况差,并存病多,增加了手术风险,但合理的围手术期处理,可提高手术成功率,降低死亡率和并发症的发生率,改善生活质量。Objective To explore the perioperative management of gastrointestinal tumor in old people. Methods 72 cases of elderly patients aged over 70 who received operation for gastrointestinal tumor from January 1998 to October 2006 were analyzed retrospectively. Results The coexisting disease included heart disease(23 cases) ,hypertension(20 cases),diabetes(15 cases),respiratory disease(12 cases),anemia(11 cases),renal dysfunction(8 cases) ,and hypoproteinemia(45 cases). Postoperative complications were happened in pneumonia(15 cases), cardiac insufficience(5 cases), anastomotic leakage (2 cases), wound dehiscence (2 cases), wound infection ( 6 cases), died in perioperative period(2 cases),and 2 cases died near leave hospital. Conclusion Innutrition and more coexisting disease increase the risk of the surgical procedures,but proper perioperative management is very important for aged patients with gastrointestinal tumor to improve the resection rate and reduce complications and improve prognosis.
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