文档介绍：高龄胃癌患者的临床特点及围手术期处理
【摘要】目的探讨高龄胃癌患者的临床特点,提高外科治疗水平。方法对2002年10月—2004年10月对310例行标准胃癌根治术的临床资料进行回顾性分析。结果 101例≥70岁高龄胃癌患者中术前75例(%)有合并疾病,209例<70岁低龄胃癌患者术前35例(%)有合并疾病,两组比较差异有显著性(P<);%,%,%,%,两组比较差异有显著性(P<);%%,%,两组之间差异有显著性(P<)。结论高龄胃癌患者常合并心脏病、肺部疾病、糖尿病等疾病。加强围手术期处理仍可使高龄患者耐受标准胃癌根治术,降低死亡率和并发症的发生率。
【关键词】胃肿瘤;高龄胃癌;合并疾病;外科手术
[Abstract] Objective To discuss the clinical features in elderly aged patients with gastric cancer and improve the The radical mastectomy patients for stomachic carcinoma in clinical data of 310 patients was analyzed retrospectively, from October 2002 to October 101 patients who aged over 70, 75 patients had coexistent diseases, the rat of plications was %,and the mortality was %.209 patients who aged under 70, 35 patients had plication, the rat of plications was %,and the mortality wa
s %. Which was significantly different(P<).Preoperative morbidity and mortality were %,0 for the elderly, and %,% for the younger patients who had no coexistent diseases(P<).Conclusion The elderly patients with gastric carcinoma frequently have cardiac disease,respiratory disease and diabetes et the management of perioperation can decrease the post- plications and resect