老年肺癌71例临床分析

A Clinical Analysis of Lung Cancers in 71 Elderly Patients

目的 回顾性分析老年肺癌的临床特点，以期提高早期诊断水平。方法 回顾分析71例老年肺癌患者的临床资料。结果 城市男性、年龄60-69岁、长期吸烟、既往有肺结核史者肺癌发病率较高。临床表现以咳嗽、痰中带血和气急胸闷为主，分别占71．83％、43.66％和42．25％。病理类型：鳞癌占49．30％。腺癌占26．76％。小细胞癌占7．04％。结论 老年肺癌临床表现多样化且不典型，合并症多，对肺癌的早期诊断有一定困难，易延误病情。积极探讨老年肺癌的临床特点实属必要。

Objective To analyze the clinical characteristics of lung cancers in elderly patients retrospectively, so that we can improve the early diagnosis. Methods The data of 71 patients with lung cancer was nanlyzed retrospectively. Results The incidence of lung cancer was higher in city patients who were 60 to 69 years old, had history, of pulmonary tuberculosis and long -term smoking. The main clinical symptoms were coughing, hemoptysis and short of breath with the ratio of 71.83%, 43.66% and 42. 25% respectively. The pathology types were squamous cell carcinoma （49. 30%）, adenocarcinoma （26.76 % ） and small cell carcinoma （7.04 % ）. Conclusions The clinical .symptoms of lung cancer in old patients are varied and untypical, and also often with the complication. It＇s very difficult to diagnose the lung cancer in early stage and thus causes the delay in treatment. It＇s necessary to pay more attention the clinical characteristics of the lung cancer in elderly patients.