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目的探讨老年胰腺癌病人的围手术期处理方法。方法回顾性分析我院普外科从2002年6月至2004年4月手术治疗的36例胰腺癌病例,按年龄将病人分成老年组和中年组,分别对比两组病人围手术期的生命体征变化,提出围手术期的治疗方案。结果老年组病人的生命体征在手术前后具有显著性差异,老年组病人手术后的心肺功能异常发生率为70.83%,相对中年组有显著性差异(P<0.01)。结论胰腺癌手术复杂,创伤大,对老年病人更容易产生心肺功能异常和并发症,需要在围手术期各个阶段认真对待。
Objective To investigate the perioperative management of elderly patients with pancreatic cancer. Methods Retrospectively analyzed 36 cases of pancreatic cancer treated by general surgery in our hospital from June 2002 to April 2004. The patients were divided into old age group and middle age group according to age. The perioperative vital signs of the two groups were compared. Change the perioperative treatment plan. Results The vital signs of the elderly patients had significant differences before and after surgery. The incidence of abnormal heart and lung function after surgery was 70.83% in the elderly patients, which was significantly different from that in the middle-aged patients (P<0.01). [Conclusion] Pancreatic cancer is complicated and traumatic, and it is more likely to cause cardiopulmonary dysfunction and complications in elderly patients. It needs to be taken seriously during the perioperative period.