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目的:探讨高龄肺癌进行外简直手术治疗的重要性及围术期处理的有关问题。方法:对22例70岁以上肺癌的临床资料回顾分析。结果:21例病人手术切除,其中根治性切除15例(71.4%),姑息性切除6例(28.6%),术后并发症7例(33.3%),围术期死亡1例。结论:年龄并非肺癌手术治疗的禁忌症。高龄肺癌病人器官功能及机体抵抗力减退,多合并慢性疾病,对开胸手术耐受性差,并发症多。所以重视围术期处理,是减少术后并发症和病死率,提高根治性切除率、生存率和改善生活质量的关键。
Objective: To investigate the importance of external simple orthopedic surgery in elderly patients with lung cancer and related problems of perioperative management. Methods: The clinical data of 22 patients with lung cancer over the age of 70 were retrospectively analyzed. RESULTS: Twenty-one patients underwent surgical resection, of whom 15 (71.4%) had radical resection, 6 (28.6%) had palliative resection, 7 (33.3%) had postoperative complications and 1 died during perioperative period. Conclusion: Age is not a contraindication for surgical treatment of lung cancer. Senile lung cancer patients with organ dysfunction and body resistance decreased, more complicated with chronic diseases, poor tolerance to thoracic surgery, complications and more. Therefore, emphasis on perioperative management is to reduce postoperative complications and mortality, improve radical resection rate, survival rate and improve the quality of life key.