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目的探讨高龄梗阻性结肠癌病人的围术期处理及营养支持的作用。方法回顾分析我院1997年10月~2005年11月收治的57例高龄(70岁以上)结肠癌伴梗阻病人的临床资料,对其围术期合并症的术前评估、处理及营养支持进行探讨。结果57例全部行手术治疗,其中41例行切除性手术,切除率为71.9%,术后并发症发生率29.8%,死亡1例。结论高龄梗阻性结肠癌病人术前各脏器储备功能评估、合并症处理及营养支持至关重要,对提高手术切除率、减少并发症、降低死亡率有积极的意义。
Objective To investigate the effect of perioperative management and nutritional support on elderly patients with obstructive colon cancer. Methods The clinical data of 57 elderly patients (over 70 years old) with colorectal cancer with obstruction who were treated in our hospital from October 1997 to November 2005 were retrospectively analyzed. The preoperative evaluation, management and nutritional support of perioperative complications were performed Discussion. Results All the 57 cases underwent surgical resection. Among them, 41 cases underwent resection surgery, the resection rate was 71.9%, the incidence of postoperative complications was 29.8% and 1 died. Conclusion The evaluation of reserve function, complications and nutritional support of preoperative organs in senile patients with obstructive colon carcinoma is very important. It is of great significance to improve the resection rate, reduce the complications and reduce the mortality rate.