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食管癌和贲门癌属于老年疾病,高龄患者不在少数。对于这部分病人采取手术治疗是临床常遇到的实际工作。高龄患者常伴有不同程度的心肺功能减退或存在原发病,患病后因为上消化道梗阻致营养差,抵抗力下降等因素,容易出现各种并发症使手术危险性明显增多。我们对1992年至2002年共32例70岁以上食管癌贲门癌患者围手术期处理进行分析,为提高手术治疗效果和减少并发症提供借鉴。
Esophageal cancer and cardia cancer are elderly diseases, not a few elderly patients. Surgical treatment of this part of the patients is often encountered in clinical practice. Elderly patients are often accompanied by varying degrees of cardiopulmonary dysfunction or the existence of the original disease, illness due to upper gastrointestinal tract obstruction caused by poor nutrition, decreased immunity and other factors, prone to complications that make surgery significantly increased risk. We analyzed the perioperative management of 32 patients with esophageal and cardiac cancer over the age of 70 from 1992 to 2002, which could provide reference for improving the curative effect and reducing the complications.