摘要
目的探讨高龄胃癌患者并存疾病的围手术期处理方法。方法回顾性分析113例70岁以上胃癌患者并存疾病的围手术期处理及外科治疗结果。结果并存心血管疾病56例、呼吸系统疾病34例、糖尿病15例、肝功能不全8例、肾功能不全5例、营养不良32例。术后出现并发症29例,其中切口感染8例、腹腔感染4例、切口裂开1例、肺部感染10例、胸腔积液7例、吻合口漏1例、急性呼吸窘迫综合症1例、急性心肌梗塞2例。围手术期死亡2例。结论并存疾病增加了高龄胃癌患者手术风险,但术前全面了解病情,加强对并存疾病的围手术期处理不仅可以降低手术的风险,而且可以减少并发症的发生率和降低围手术期死亡率。
Objective To explore The perioperative management of the coexisting diseases for the elderly patients with stomachic carcinoma. Methods The perioperative management and experience of surgical treatnent for stomachic carcinoma in 113 patients over 70 years old was analyzed retrospectively. Results The coexisting diseases included cardiovascuclar disease （56 cases）, respiratory disease （34 cases）, diabetes （ 15 cases ）, liver insufficiency （8 cases）, renal insufficiency （5 cases）, malnutrition （32 cases）. Post-operatlve complications （29 cases） ： wound infection （8 cases）, intraperitonealinfection （4 cases）, wound dehiscence （1 cases）, pneumonia （10 cases）, pleural effusion （7 cases）, anastomotic leakage （1 cases）, acute pulmonary distress syndrome （1 cases） ,acute cardial infarction （2 cases）. Two cases died in perioperative perod. Conclusion the coexisting diseases increase the risk of surgical procedures for the elderly patients,but complete assessment of the patient＇s general health and intensive perioperative management of the coexisting diseases not only can decrease the risk of surgical procedures but also decrease the ncidence of complication and perioperative mortality.
出处
《实用癌症杂志》
2005年第6期607-609,共3页
The Practical Journal of Cancer
关键词
高龄
胃癌
围手术期
Aged
Gastric carcinoma
Perioperation
