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目的探讨围手术期高龄肺癌病人术前基础疾病及术后并发症的内科治疗及疗效观察。方法对2000年1月至2003年1月收治的68例高龄(>70岁)肺癌病人,术前纠正基础疾病、器官功能支持,术中、术后积极防治并发症,对治疗结果综合分析。结果全组病人均接受了手术治疗,根治切除率88.2%(60/68),并发症发生率44.1%(30/68),围手术期病死率2.9%(2/68),随访术后1、2、3年存活率分别为83.3%、65.1%、43.9%。结论单纯年龄因素不属于手术禁忌,重视围手术期基础疾病的治疗、器官功能的支持、并发症的防治,是减少并发症和围手术期死亡,提高存活率的关键。
Objective To investigate the preoperative basic diseases and postoperative complications of perioperative elderly patients with lung cancer. Methods A total of 68 elderly patients (> 70 years) admitted to our hospital from January 2000 to January 2003 were enrolled in the study. The patients were followed up for the treatment of underlying diseases and organ function. Preoperative and postoperative complications were actively controlled and the results were analyzed comprehensively. Results All the patients underwent surgical treatment. The radical resection rate was 88.2% (60/68), the complication rate was 44.1% (30/68) and the perioperative mortality rate was 2.9% (2/68). Follow-up 1 The two-year and three-year survival rates were 83.3%, 65.1% and 43.9% respectively. Conclusions Simple age is not a taboo of surgery. Emphasis on perioperative management of underlying diseases, support of organ function and prevention and treatment of complications are the keys to reduce complications and perioperative deaths and improve survival rate.