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目的 探讨高龄肺癌患者的围手术期的处理。方法 总结64 例70 岁以上老年肺癌患者围手术期的临床经验。结果 术后并发心律失常9例,心功能不全2例,呼吸功能衰竭14例,死亡2 例,死亡率2.6%。结论 ①术后常见并发症为呼吸系统并发症和心血管系统并发症;②常见死亡原因为呼吸功能不全和心功能不全;③围手术期预防及处理:术前应注意呼吸道的准备。术后有效保持呼吸道通畅,必要时行呼吸机辅助呼吸。对术前有冠心病、肺心病及其它严重伴发疾病者应积极治疗,术后应有效地止痛、镇静,严密做床旁心电监测,及时分析心律失常的原因并做相应处理,注意保护心脏。
Objective To investigate the perioperative management of elderly patients with lung cancer. Methods The clinical experience of perioperative period in 64 elderly patients with lung cancer over the age of 70 was summarized. Results Postoperative arrhythmia in 9 cases, 2 cases of cardiac insufficiency, respiratory failure in 14 cases, 2 died, the mortality rate of 2.6%. Conclusions ① The common postoperative complications are respiratory complications and cardiovascular complications. ② The common causes of death are respiratory insufficiency and cardiac insufficiency. ③ Perioperative prophylaxis and treatment: Preoperative respiratory preparation should be noted. Effective postoperative airway patency, ventilator-assisted breathing if necessary. Preoperative coronary heart disease, pulmonary heart disease and other serious complications should be actively treated, should be effective after surgery to relieve pain, sedation, bedside ECG monitoring, timely analysis of the causes of arrhythmia and make the appropriate treatment, pay attention to protection heart.