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目的提高对老年胃癌患者的诊治及围手术期处理的认识水平。方法对我院2002年5月至2010年6月间经手术和病理证实的大于70岁83例老年胃癌患者及小于60岁145例的临床资料进行回顾性比较分析总结。结果老年组术前心、肺、肝、前列腺等合并症及术后胸腔积液、肺部感染、吻合口瘘等并发症明显多于年轻组。结论老年胃癌患者术前合并症多,术后并发症发生率高,应加强患者围手术期处理及术后并发症防治。
Objective To improve the diagnosis and treatment of elderly patients with gastric cancer and perioperative management of the level of awareness. Methods The clinical data of 83 elderly patients with gastric cancer older than 70 years old and 145 patients younger than 60 years old who were surgically and pathologically confirmed from May 2002 to June 2010 in our hospital were analyzed retrospectively. Results Complications of heart, lung, liver, prostate and other postoperative complications such as pleural effusion, pulmonary infection and anastomotic fistula were significantly higher in the elderly group than in the young group. Conclusion There are many preoperative complications in elderly patients with gastric cancer and high incidence of postoperative complications. Perioperative management and prevention and treatment of postoperative complications should be strengthened.