318例老年胃癌病人的临床分析  

Clinical analysis of 318 elderly patients with gastric carcinoma

作　　者：储冰峰[1] 陈大伟[1] 全志伟[1] 龚圣济[1] 沈定丰[1] 骆明德[1] 张一楚[1] 

机构地区：[1]上海第二医科大学附属新华医院普外科,200092

出　　处：《消化外科》2002年第4期283-284,共2页Journal of Digestive Surgery

摘　　要：目的 分析和总结老年胃癌的临床特点。方法 对我院318例老年胃癌患者的共存病以及术后并发症进行分析和总结。结果318例老年胃癌患者,238例（74.84％）患有高血压、心脏病、糖尿病等一些老年人常见病。术后发生并发症共71例,死亡13例。手术前有并存病者,术后并发症的发生率为25.63％;而手术前无并存病者,术后并发症的发生率为12.50％,两者有非常显著性的差异（P<0.01）。结论 老年胃癌患者常患有高血压、心脏病、糖尿病等疾病。加强围手术期处理,可提高手术的安全性,减少并发症的发生。Objective To analyze and summarize the clinical characterics in elderly patients with gastric carcinoma. Methods The co- existent diseases and postoperative complications in 318 cases of elderly patients with gastric carcinoma were analyzed and summarized. Results Among the 318 elderly patients with gastric carcinoma, 238 cases (74.84%) suffered from common diseases in the elderly, such as hypertension, cardiac disease, diabetes, et al. Seventy - one patients had post - operative complications, and 13 of them died from complications. The rate of post - operative complications in the elderly who had co - existent diseases was 25.63% , whereas that in the elderly who had no co - existent diseases was 12.50% . There was a significant difference between the two groups ( P < 0.01) . Conclusions The elderly patients with gastric carcinoma frequently have hypertension, cardiac diseases, and diabetes. Strengthen the perioperative management could improve the security of the operation and decrease the post - operative complications.

关 键 词：老年人 胃癌 共存病 并发症 

分 类 号：R735.2[医药卫生—肿瘤]