目的:探讨高龄患者围术期的呼吸道管理。方法:通过对78例老年患者术前准备、宣教和呼吸功能锻炼,术后严密观察及时处理,咳嗽咳痰指导,管道护理,加强各项技术操作和基础护理。结果:术后并发肺部感染3例,肺不张2例,其中1例呼吸衰竭死亡外,其余患者康复出院。结论:加强高龄肿瘤患者术前术后的呼吸道管理,能够明显减少肺部并发症,缩短住院时间,促进患者的康复。 Objective: To study the perioperative respiratory management in elderly patients. Methods: 78 cases of elderly patients preoperative preparation, education and respiratory function training, postoperative close observation and timely treatment, cough and sputum guidance, pipe care, and strengthen the technical operation and basic nursing. Results: There were 3 cases of lung infection and 2 cases of atelectasis. Among them, 1 died of respiratory failure, and the rest were discharged from hospital. Conclusion: To strengthen the management of respiratory tract in preoperative and postoperative elderly patients with advanced cancer can significantly reduce pulmonary complications, shorten the hospital stay and promote the recovery of patients.