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目的分析总结高龄胃癌的临床特点和围手术期处理的有关问题。方法对我院120例高龄胃癌患者的并存病、术后并发症以及围手术期处理进行分析总结。结果120例高龄胃癌患者中,88例(73.3%)患有高血压、心脏病、糖尿病、慢性支气管炎肺气肿等并存病;术后发生并发症共26例,死亡5例。术前有并存病者术后并发症的发生率为29.5%,而术前无并存病者,术后并发症的发生率为13.6%,两者比较,差异有统计学意义(P<0.01)。结论高龄胃癌患者常患有高血压、心脏病、糖尿病、肺气肿等疾病,加强围手术期处理,选择适当的手术方式可提高手术的安全性,减少并发症的发生,提高生存质量。
Objective To analyze and summarize the clinical characteristics of elderly patients with gastric cancer and perioperative management of the issues. Methods 120 cases of elderly patients with gastric cancer in our hospital coexisting disease, postoperative complications and perioperative management were analyzed and summarized. Results Among the 120 elderly patients with gastric cancer, 88 (73.3%) patients had hypertension, heart disease, diabetes mellitus, and chronic bronchitis and emphysema. There were 26 complications and 5 deaths. The incidence of postoperative complications was 29.5% in patients with preoperative coexisting disease, while the incidence of postoperative complications was 13.6% in patients without preoperative coexistence. There was significant difference between the two groups (P <0.01) . Conclusion The elderly patients with gastric cancer often suffer from hypertension, heart disease, diabetes, emphysema and other diseases, strengthen the perioperative management, select the appropriate surgical approach can improve the safety of surgery, reduce complications and improve the quality of life.