目的 :总结高龄肺癌病人外科治疗经验 ,进一步降低手术后并发症和死亡率 ,提高外科治疗效果。方法 :1990年1月～ 2 0 0 1年 12月间收治 4 9例 70岁以上高龄肺癌病人 ,其中肺叶切除 36例 ,楔形切除 5例 ,8例因肿瘤侵犯心包、胸膜和肺内多发病灶及肺门凝固等原因仅作单纯剖胸探查。结果 :手术切除率 77.5 5 %。术后 30天内死亡 3例 ,死亡率为 6 .12 % ,2例死于肺部感染致全身衰竭 ,1例死于心肌梗死 ;术后并发肺部感染 11例 ,心肌梗死 1例 ,切口感染 2例 (术后并发症为2 8.5 7% )。结论 :对高龄肺癌患者的手术治疗应持积极态度 ,降低术后并发症和死亡率的关键在于早期诊断和认真做好围手术期处理 OBJECTIVE: To summarize the experience of surgical treatment of advanced lung cancer patients, to further reduce the postoperative complications and mortality and improve the surgical treatment effect. Methods: Between January 1990 and December 2001, 49 patients with advanced lung cancer over the age of 70 were treated, including 36 cases of lobectomy, 5 cases of wedge resection and 8 cases of multiple lesions in pericardium, pleura and lung due to tumor invasion And hilar coagulation and other reasons only for simple chest exploration. Results: Surgical resection rate of 77.5 5%. Three patients died within 30 days after operation, with a mortality rate of 6.12%. Two patients died of systemic infection due to pulmonary infection and one died of myocardial infarction. Eleven patients were complicated with pulmonary infection, one was myocardial infarction, and incision infection 2 cases (postoperative complications was 2 8.57%). Conclusion: The surgical treatment of elderly patients with lung cancer should hold a positive attitude and reduce postoperative complications and mortality is the key to early diagnosis and careful perioperative management