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目的分析高龄肺癌肺切除术后并发症和死亡率高危影响和预后。方法统计病人术后心血管和肺部并发症发生率和死亡率。随机抽取同期65岁以下肺癌肺切除317例进行对照。对62例有随访资料病例计算生存率并对术式和分期对生存时间影响进行比较。结果肺切除术后心肺并发症发生率39.2%,其中同时并发心血管和肺部并发症19例占23.3%,心血管并发症25例占30.49%,肺部并发症26例占31.71%。呼衰死亡1例占1.22%。结论70岁以上患者肺癌肺切除术后心肺并发症明显增高。正确选择手术适应证和术式,正确和及时处理术后并发症能降低手术危险性。肿瘤分期对术后生存时间有显著影响。
Objective To analyze the influence and prognosis of postoperative complications and mortality in elderly patients with lung cancer after lung resection. Methods The incidence of postoperative cardiovascular and pulmonary complications and mortality were calculated. Thirty-seven lung cancer patients under the age of 65 were randomly selected for lung cancer resection. 62 patients with follow-up data were calculated survival rates and surgical procedures and staging on the survival time were compared. Results The incidence of cardiopulmonary complications after pneumonectomy was 39.2%. Among them, 19 cases were simultaneously complicated with cardiovascular and pulmonary complications, 23.3% with cardiovascular complications, 30.49% with cardiovascular complications and 26 cases with lung complications accounting for 31.71%. 1 case of respiratory failure accounted for 1.22%. Conclusion Cardiopulmonary complications after lung cancer resection in patients over 70 years old were significantly higher. The correct choice of surgical indications and surgical procedures, correct and timely treatment of postoperative complications can reduce the surgical risk. Tumor stage had a significant effect on postoperative survival time.