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目的：为总结高龄肺癌病人外科治疗经验，进一步降低手术死亡率，提高外科治疗效果。方法：回顾性分析21例70岁以上高龄肺癌手术治疗资料。结果：高龄患者术前多伴发心肺系统疾病，术后并发症发生率较高（28．6％），以肺部感染为主；五年生存率为33．3％。结论：对高龄肺癌的手术治疗应持积极态度，手术适应证应全面衡量患者的生理年龄及病灶情况；降低手术死亡率的关键在于做好充分的术前准备，加强术中管理和积极处理术后并发症。
Objective: To summarize the experience of surgical treatment for elderly patients with lung cancer, to further reduce operative mortality and improve surgical treatment. Methods: Retrospective analysis of 21 cases of surgical treatment of older lung cancer patients aged over 70 years. RESULTS: Older patients had multiple cardiopulmonary diseases before surgery. The incidence of postoperative complications was high (28.6%), and pulmonary infection was the major one. The five-year survival rate was 33.3%. Conclusion: Surgical treatment for elderly lung cancer should take a positive attitude. Surgical indication should comprehensively measure the patient’s physiological age and lesions; the key to reducing operative mortality is to do a good preoperative preparation, strengthen intraoperative management and active treatment. Post-complications.