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目的探讨70岁以上肺癌患者围术期心肺并发症发生情况。方法 40例70以上原发性肺癌患者作为观察组;40例70岁以下原发性肺癌患者作为对照组。分析两组患者围术期心肺并发症(肺内感染、肺不张、低氧血症、呼吸衰竭、心律失常)发生情况。结果观察组患者的心肺并发症发生87次高于对照组的27次,差异有统计学意义(P<0.05)。观察组患者肺内感染发生率、肺不张发生率、低氧血症发生率、呼吸衰竭发生率、心律失常发生率均高于对照组,差异均有统计学意义(P<0.05)。结论 70岁以上肺癌患者围术期心肺并发症的发生率高于70岁以下肺癌患者,加强对70岁以上肺癌患者围手术期处理有助于提高此类患者术后预后效果。
Objective To investigate the incidence of perioperative cardiopulmonary complications in patients over 70 years old with lung cancer. Methods Forty patients with primary lung cancer over 70 as observation group and 40 patients with primary lung cancer under 70 years as control group. The incidence of perioperative cardiopulmonary complications (pulmonary infection, atelectasis, hypoxemia, respiratory failure, arrhythmia) in both groups was analyzed. Results The incidence of cardiopulmonary complications in the observation group was 87 times higher than that in the control group, with a significant difference (P <0.05). The incidence of pulmonary infection, the incidence of atelectasis, the incidence of hypoxemia, the incidence of respiratory failure and the incidence of arrhythmia in the observation group were significantly higher than those in the control group (P <0.05). Conclusion The incidence of perioperative cardiopulmonary complications in patients with lung cancer over 70 years old is higher than that in patients under 70 years of age. Enhancing the perioperative management of lung cancer patients over 70 years old can improve the prognosis of patients with lung cancer.