高龄肺癌患者肺切除手术的围术期处理  

Perioperative Management of Aged Patients with Lung Cancer Who Underwent Pneumonectomy

作　　者：周亚[1] 封锡清[1] 高杰[1] 梁建伟[1] 

机构地区：[1]徐州市肿瘤医院胸外科,江苏徐州221005

出　　处：《医学综述》2011年第24期3818-3819,共2页Medical Recapitulate

摘　　要：目的总结高龄肺癌患者外科治疗的特点及围术期处理经验。方法回顾性分析46例70岁以上行肺癌手术患者的术前诊断、风险评估、手术方案、围术期处理及并发症情况。结果全组45例术后恢复好,康复出院,1例因并发大面积脑梗死而死亡,平均术后并发症发生率为36.9%。结论高龄肺癌患者通过仔细的心肺功能评估,在严格选择手术适应证的前提下,结合充分的术前准备和严密的术后处理,手术并发症发生率及病死率明显降低,可以获得良好的治疗效果。Objective To conclude the clinical features of surgical treatment and the experiences of perioperative management of lung cancer in aged patients. Methods 46 patients （ over 70 years） with lung cancer who underwent pneumonectomy were analyzed retrospectively on the preoperative diagnosis, the surgical risk, the surgical procedures,the perioperative treatment and the complications. Results 45 patients recovered well after surgery. 1 patient died of cerbral infarction. The postoperative complication rate was 36.9%. Conclusion Aged patients with lung cancer can acquire satisfied treatment results from strict preoperative evaluation of cardiorespiratory function, reasonable choice of operation indications, the proper preop- erative preparation and active management of postoperative complications.

关 键 词：肺癌 高龄患者 肺切除术 围术期处理 

分 类 号：R619[医药卫生—外科学]