老年肺癌手术患者围手术期处理  

The peroperative period treatment of elderly patients with lung cancer

作　　者：余祖滨[1] 姚珂[1] 张国强[1] 闵家新[1] 向明章[1] 

机构地区：[1]第三军医大学附属新桥医院胸外科,重庆400037

出　　处：《激光杂志》2009年第3期96-97,共2页Laser Journal

摘　　要：目的:探讨老年肺癌患者围手术期的治疗经验。方法:对68例60岁以上老年肺癌患者的外科治疗进行分析。结果:68例老年肺癌患者合并高血压病19例,糖尿病11例,冠心病4例,慢性支气管炎、肺气肿10例。均行手术治疗,术后并发症19例,并发症发生率28.0%,其中心肺并发症占89.5%(17/19)。无围手术期死亡。结论:老年肺癌患者术前合并心肺血管疾病增加了手术的风险性,术前全面了解病情,加强围手术期管理,是提高手术疗效的关键;采取适当的治疗措施,老年肺癌患者也可以取得满意的治疗效果。Objective： To discuss the pemperative period treatment of elderly patients with lung cancer. Methods： The peroperative period treatment for 68 cases of hmg cancer in elderly patients were retrospectively analysed. Results： All of 68 patients, 19 cases with hypertensive disease, 11 cases suffered from diabetes mellitus, 4 cases with coronary heart disease, 10 cases with COPD, were surgical treatment. The postoperative complications were 19 cases（28.0% ）, including cardiopulmonary complications of 89.5% （17/19}, no perioperative death. Conclusions： Elderly patients with lung cancer, cardiopulmunary vascular disease before merger increase the operative risk, to fully understand the condition, strengthen the preoperative and perinperative management is the key to improve the curative effect. Take proper measures, the elderly patients with lung cancer may also obtain satisfactory theraoeutic effect.

关 键 词：肺癌 老年 外科治疗 

分 类 号：R737.2[医药卫生—肿瘤]