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目的探讨老年人肺癌临床诊治特点。方法对66例老年人肺癌进行回顾性分析。结果老年人肺癌为同期肺癌的35.4%(66/186),临床表现主要有咳嗽、咳痰、咳血、痰中带血及胸疼,以首发转移癌症状就诊的肺癌12例,误诊率为18.2%,有合并症者35例(53%)。结论老年人肺癌临床表现多样化且不典型,合并症多。临床上应提高早期确诊率,及时采取有效治疗对老年肺癌的预后有重要作用。
Objective To explore the clinical diagnosis and treatment of lung cancer in the elderly. Methods A retrospective analysis of 66 elderly patients with lung cancer. Results Lung cancer in the elderly was 35.4% (66/186) of the patients in the same period. The main clinical manifestations were cough, sputum, hemoptysis, blood in the sputum and chest pain, and 12 patients were diagnosed as first-line metastatic cancer. The misdiagnosis rate was 18.2%, 35 cases of complications (53%). Conclusion The clinical manifestations of lung cancer in the elderly are diverse and are not typical, with many complications. Clinically, the rate of early diagnosis should be improved, and prompt and effective treatment of lung cancer prognosis plays an important role.