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目的分析高龄肺癌患者围手术期心肺功能监护及处理效果。方法收集2006年1月~2013年1月本院收治的120例高龄肺癌患者临床资料,对患者加强围手术期心肺功能监护,并采取及时的方案进行处理并发症,最后分析患者术后情况。结果 120例患者术后出现肺部感染、呼吸衰竭、心律失常、肺不张、支气管胸膜瘘、心功能衰竭、切口感染等并发症共22例(18.33%),其中经过处理均治愈。术后死亡4例(0.33%),随访率为96.67%,随访1年生存率为87.93%。结论对高龄肺癌患者,加强围手术期心肺功能监护,采取并发症处理方案,以降低术后并发症发生率,提高患者生存率。
Objective To analyze perioperative cardiopulmonary function monitoring and treatment effect in elderly patients with lung cancer. Methods The clinical data of 120 elderly patients with lung cancer who were admitted to our hospital from January 2006 to January 2013 were collected. The cardiopulmonary function monitoring was performed during the perioperative period. The patients were treated with timely solutions to treat the complications. Finally, the postoperative outcomes were analyzed. Results A total of 22 patients (18.33%) with complications of pulmonary infection, respiratory failure, arrhythmia, atelectasis, bronchopleural fistula, heart failure and incision infection were found in 120 patients. All of them were cured after treatment. Postoperative death occurred in 4 patients (0.33%). The follow-up rate was 96.67%. The 1-year follow-up survival rate was 87.93%. Conclusion For elderly patients with lung cancer, perioperative cardiopulmonary monitoring should be strengthened and complications should be treated to reduce the incidence of postoperative complications and improve the survival rate.