高龄结直肠癌合并COPD患者的围手术期处理

Perioperative Treatment of Senile Patients with Colorectal Carcinoma Complicated with Chronic Obstructive Pulmonary Disease

为探讨高龄结直肠癌合并慢性阻塞性肺病（COPD）患者的围手术期处理，对45例80岁以上老年结直肠癌合并COPD患者的临床资料进行回顾性分析。结果显示，COPD症状加重8例，术后心律失常2例，术后肺炎8例，尿路感染6例，呼吸功能衰竭2例，伤口感染5例，吻合口漏3例，围手术期无死亡病例。结果表明，术前评估COPD患者的肺功能，合理手术方式，术后监测与护理，有效的营养支持，对并存病的及时处理及完善的麻醉是降低手术风险和减少术后并发症的关键。

The clinical data of 45 patients who were ≥80 years of age and had colorectal carcinoma complicated with chronic obstructive pulmonary disease （COPD） were analised retrospectively. Result showed that postoperative arrhythmia was found in 2 cases,deteriorated COPD in 8 cases,postoperative pneumonia in 8 cases, urethra infection in 6 cases, respiratory failure in 2 cases, wound infection in 5 cases, anastomotic leakage in 3 cases;and there was no perioperative death. It is revealed that preoperative assessment of pulmonary function, rational surgical procedure, postoperative nursing, effective nutrition support, instant management of the complicated diseases and proper anesthesia are the key aspects in reducing postoperative complications.