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目的 :探讨老年人大肠癌围手术期处理特点。方法 :回顾性分析 94例≥ 6 0岁和 39例同期 <6 0岁组大肠癌病人的合并症及围手术期处理情况。结果 :≥ 6 0岁组和 <6 0岁大肠癌病人合并症发生率分别为 92 .5 5 %和 5 1.2 8% (P <0 .0 0 5 ) ;前后组发生术后并发症发生率分别为 41.49%和 2 3 .0 8% (P <0 .0 5 )。前组 7例围手术期死亡 ,而后组未发生围手术期死亡。结论 :老年人各主要脏器的储备功能减退 ,合并症多 ,恰当的围手术期处理可降低并发症的发生率和手术死亡率
Objective: To investigate the characteristics of perioperative management of colorectal cancer in the elderly. Methods: A retrospective analysis of 94 cases of ≥ 60 years old and 39 cases of colorectal cancer patients at the same period of 60 years of complications and perioperative management. Results: The incidence of complications of patients with colorectal cancer ≥60 years old and <60 years old were 92.55% and 52.2% respectively (P <0.05). The incidence of postoperative complications Respectively, 41.49% and 23.0% (P <0.05). Perioperative death was found in 7 cases in the former group, while no perioperative death occurred in the latter group. Conclusion: The reserve function of the major organs of the elderly is diminished, with more complications and the appropriate perioperative management can reduce the incidence of complications and operative mortality