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目的 分析和总结老年胃癌的临床特点。方法 老年胃癌病人入院后 ,对可能增加手术风险的因素 ,尽可能在术前予以纠正。必要时 ,在术后继续处理。术中、术后严密观察病人全身情况 ,发现问题及时处理。结果 318例老年胃癌病人 ,2 38例 (74 84% )患有高血压、心脏病、糖尿病等老年人常见病。术后发生并发症共 71例次 ,死亡 13例。手术前有共存病者 ,术后并发症的发生率为 2 5 6 3% ;而手术前无共存病者 ,术后并发症的发生率为 12 5 0 % ,两者差异有非常显著性意义 (P <0 0 1)。结论 老年胃癌病人常患有高血压、心脏病、糖尿病等疾病。加强围手术期处理 ,可提高手术的安全性 ,减少并发症的发生。
Objective To analyze and summarize the clinical features of elderly patients with gastric cancer. Methods Older patients with gastric cancer were admitted to hospital and corrected for possible increases in surgical risk before surgery. If necessary, continue treatment after surgery. The patient’s general condition was observed during and after the operation and problems were found in time. Results Of 318 elderly patients with gastric cancer, 238 cases (74 84%) had common diseases such as hypertension, heart disease, and diabetes. A total of 71 cases of postoperative complications occurred and 13 cases died. Patients with comorbidities before surgery had a postoperative complication rate of 25.63%; and patients without comorbidities before surgery had a postoperative complication rate of 125%. There was a significant difference between the two groups. (P < 0 0 1). Conclusion Elderly gastric cancer patients often suffer from hypertension, heart disease, diabetes and other diseases. Strengthening perioperative management can improve the safety of surgery and reduce the occurrence of complications.