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目的 探讨手术治疗老年胃癌患者并存内科心肺疾病的临床特点。方法 2001 -02 ~2004 -08对广东省高州市中医院老年胃癌病人合并内科心肺疾病又需要手术治疗者,努力做好围手术期处理。结果 106例老年胃癌患者中有71例(66. 98% )并存高血压、心脏病、肺部疾患,这些手术前有科心肺疾病者术后发生并发症21例,发生率为29 .58%,而35例手术前无内科心肺疾病患者术后发生并发症3例,发生率8. 57%,经统计学处理χ2 =3 98,P<0. 05,差异有显著性。结论 对老年胃癌手术病人并存内科心肺疾病患者应加强围手术期的处理,可减少手术的风险性,减少并发症的发生。
Objective To investigate the clinical characteristics of surgical treatment of elderly patients with gastric cardiopulmonary disease. Methods 2001 -02 ~ 2004 -08 Gaozhou City, Guangdong Province Hospital of Geriatric Gastric patients with medical cardiopulmonary disease need surgical treatment, and strive to do perioperative management. Results Of the 106 elderly patients with gastric cancer, 71 (66.98%) patients had hypertension, heart disease and lung disease. Among these patients, 21 cases were complicated by heart and lung disease after operation, the incidence was 29.58% , While 35 patients without medical cardiopulmonary disease before surgery occurred in 3 cases of postoperative complications, the incidence rate of 8.57%, the statistical treatment of χ2 = 3 98, P <0.05, the difference was significant. Conclusions Perioperative management should be strengthened in elderly patients with gastric cancer complicated by medical cardiopulmonary diseases, which can reduce the risk of surgery and reduce the incidence of complications.