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目的探讨影响老年胃癌患者术后严重并发症的主要因素。方法回顾性分析2003年1月至2008年12月期间在吉林大学中日联谊医院接受手术治疗的老年胃癌患者202例,以术后是否发生并发症及严重程度分为有和无严重并发症组,分别从临床因素和实验室检查两方面分析老年胃癌患者术后出现严重并发症的相关因素。结果在临床指标中,术前有并存症、行全胃切除、术中出血量≥800 ml、术中输血量以及联合脏器切除与手术后严重并发症相关(P<0.05)。实验室检查指标中,术前血清白蛋白值及术后第1天血糖值与手术后严重并发症相关(P<0.05)。结论术前有并存疾病、低蛋白血症以及扩大根治手术是老年胃癌患者术后出现严重并发症的危险因素。
Objective To explore the main factors influencing the serious postoperative complications in elderly patients with gastric cancer. Methods A retrospective analysis of 202 elderly patients with gastric cancer undergoing surgical treatment at the Sino-Japanese Friendship Hospital of Jilin University from January 2003 to December 2008 was performed. The postoperative complications and severity were divided into two groups: with and without serious complications , Respectively, from clinical factors and laboratory tests were analyzed two aspects of elderly patients with severe complications of postoperative complications related factors. Results In clinical indicators, preoperative complications, total gastrectomy, intraoperative blood loss ≥ 800 ml, intraoperative blood transfusion and combined organ removal were associated with severe complications after operation (P <0.05). Among the laboratory tests, preoperative serum albumin level and postoperative day 1 blood glucose level were associated with serious postoperative complications (P <0.05). Conclusions Preoperative coexisting diseases, hypoproteinemia and enlarged radical surgery are the risk factors for postoperative serious complications in elderly patients with gastric cancer.