老年性肺癌的临床特征

The clinical characteristics of lung cancer in the elderly patients

分析１０６例６０～７７岁肺癌的临床资料，并与同期２４８例２７～５９岁肺癌进行比较。结果表明：老年组胸痛的出现低于非老年组（Ｐ＜０．０５），老年组呼吸困难症状明显高于非老年组（Ｐ＜０．００１），老年组的并存症、肺功能损害和术后心肺并发症明显高于非老年组（Ｐ＜０．００１）。两组的肺部体征、Ｘ线表现、癌肿的组织类型、ＴＮＭ分期差异不显著。老年组的手术切除率为９２％，非老年组为８３％（Ｐ＜０．０５）；两组的手术病死率均为４％。因此，对老年人肺癌的手术治疗也应采取积极的态度。

The authors analysed 106 cases of patients aged 60 and over suffering from lung cancer after thoracotomy and compared them with 248 patients of a younger age group (27～59) age old).The results showed that: The occurrences of chest pain was lower than those in the younger group (P<0, 05). The symptom of dyspnoea, the associated diseases and complications, especially cardiovascular and respiratory diseases, in the elderly patients were significantly more (P<0. 001). There was no significant difference between in two groups in the aspects of physical signs of the lung, chest X ray features, pathologic types and TNM stages. The resection rate was 91. 5% in the elderly patients and 83. 5% in the younger ones (P<0. 05). The operative mortality in both groups was 4%. Therefore, we should adopt an active attitude towards the operative treatment of lung cancer in the elderly patients.