摘要
目的分析影响老年人肺癌切除术并发症及死亡率的因素。方法回顾总结近20年120例70岁以上肺癌手术病人的病情资料,分析影响手术并发症及死亡率的因素。结果充血性心力衰竭及有心肌梗死病史的病人,死亡率明显升高;男性病人、吸烟、FEV1<40%的病人有更高的术后并发症发病率,肺叶或双叶切除者比楔形切除者高,近7年的手术比以前的手术并发症低。而糖尿病、高血压、及咳嗽、体重下降、胸痛、憋气等临床症状对手术死亡率和并发症发生率无统计学影响。结论老年人的肺癌手术切除是可行的,老龄肺癌病人的手术治疗一方面要持积极的态度,另一方面要加强围术期的管理,尽量减少并发症的发生。
Objective: To analyze predictors affecting morbidity and mortality after pulmonary resection of elderly patients. Methods: The medical records of elderly patients who had pulmonary resection for lung cancer from 1986 to 2006 were reviewed. Results: Congestive heart failure and prior myocardial infarction,male, smoke, FEV1, extent of puhnonary resection, operation in recent 7 years were factors affecting complications. But diabetes, hypertension, cough, weight loss, chest pain, dyspnea were not associated with increased morbidity. Conclusion: Puhnonary resection for lung cancer of eld-erly patients is feasible. We should take an active attitude to surgical treatment and enhance the peri-operation management so as to reduce morbidity.
出处
《泰山医学院学报》
CAS
2007年第5期362-364,共3页
Journal of Taishan Medical College
关键词
肺肿癌
并发症
死亡率
lung fumor
complication
operation mortality and morbidity