高龄食管贲门癌患者肺功能综合量化评估及其临床意义  

The Comprehensive Quantitative Evaluation of Pulmonary Function on the Elderly Patients with Esophageal and Cardiac Carcinoma and it′s Clinical Significance

作　　者：李国仁[1] 戴建华[1] 刘晓峰[1] 陈光辉[1] 苗福禄[1] 何炳虹[1] 邵仲凡[1] 

机构地区：[1]连云港市第一人民医院胸外科,222002

出　　处：《实用癌症杂志》2001年第5期518-520,共3页The Practical Journal of Cancer

摘　　要：目的　探讨高龄食管贲门癌患者肺功能综合量化评价的方法及其临床意义。方法　从常规肺功能检测、临床肺功能试验以及影响肺功能的高危因素 3个方面进行综合量化评价。总分 10 .0～ 12 .0分属正常肺功能 ,9.5～ 6 .5分属临界肺功能 ,<6 .5分属异常肺功能。结果　本组 45例中 ,属肺功能正常者 36例 ,发生呼吸衰竭 1例 ,占 2 .78% ;属肺功能临界者 7例 ,发生呼吸衰竭 5例 ,占 71.43 % ;属肺功能异常者 2例 ,均不宜手术。结论　对高龄食管贲门癌患者进行生理性肺功能综合量化评价 ,是合理选择和扩大手术适应证、指导围手术期处理和预测预后的 1项较合理而明确的指标 。Objective To study the method of comprehensive quantitative evaluation of pulmonary function on the elderly patients with esophagealand cardiac carcinoma and it′s clinical significance.Methods The determination of routine pulmonary function,trials of clinical pulmonary function and high risk factors to effect on pulmonary function were comprehensive evaluation by quantum in forty five patients.The range of 10.0～12.0 was normal;9.5～6.5 was critical;<6.5 was anomaly.Results The pulmonary function in 36 cases was normal,among them,one case developed acute respiratory failure after operation(2.78%).It was critical in 7 cases,5 cases developed acute respiratory failure(71.4%).The was abandoned in two cases of anomaly.Conclusion The comprehensive quantitative evaluation of pulmonary function on the elderly patients of esophageal and cardiac carcinoma was an index of reasonable and reliable for accurate selection and magnify of operative indication,directing peri operative management and predicting prognosis.

关 键 词：食管贲门癌 肺功能 综合量化评价 食管癌 贲门癌 老年人 

分 类 号：R735.1[医药卫生—肿瘤] R735.2[医药卫生—临床医学]