高龄合并心血管病胃肠道肿瘤患者围手术期处理

Perioperative management of senile patients with gastrointestinal tumor complicated with cardiovascular disease

目的探讨高龄合并心血管病胃肠道肿瘤患者围手术期处理方法。方法回顾性分析87例70岁及以上合并心血管病的胃肠道肿瘤患者外科处理的临床资料。结果患者均术前评估手术风险及手术时机和麻醉方式,所有患者术中无严重心血管事件或死亡发生。围手术期死亡2例,其余患者均恢复良好。结论全面而充分的术前准备、合理选择手术时机和手术方式、有效预防和治疗术后并发症等围手术期处理对于减少高龄合并心血管病胃肠道肿瘤患者手术风险极为重要。

Objective To explore the perioperative management of 87 senile patients of gastrointestinal tumor complicated with cardiovascular disease. Methods The clinical data of surgical treatment for 87 patients （ aged 70 and over） with gastrointestinal tumor complicated with cardiovascular disease were analyzed retrospectively. Results With perioperative management greatly emphasized, all patients had been assessed for the risk of surgery, ways of anesthesia and surgery time preoperatively, and consequently, no deaths or serious cardiovascular events occurred in surgery, except for 2 deaths during postoperative period. All the other patients had good recovery. Conclusion Complete and intensive preoperative preparation, the appropriate choice of operation and operation procedure, and effective method for the prevention and treatment of complications during perioperative period in senile patients of gastrointestinal tumor complicated with cardiovascular disease are critical to reduce the risk of surgery.