老年食管癌围手术期处理体会

In elderly patients with esophageal cancer during operation period of

目的探讨老年食管癌围手术期处理体会。方法 2010-01-2012-01采取手术治疗食管癌、贲门癌89例,分为干预组45例,常规组44例观察比较。结果干预组发生并发症14例,发生率31.11%;常规组发生并发症30例,发生率68.18%,经统计学分析,P<0.05差异有统计学意义。结论老年食管癌、贲门癌患者由于疾病本身对机体造成严重损伤加之老年生理功能下降,机体免疫力衰退、应激能力衰退,常伴有多个脏器病变,增加了麻醉、手术风险,增加了围手术期并发症发生率及病死率。因此应加强癌围手术期处理,术前进行全面评估、纠正原有并发症、术中减少损伤、术后加强呼吸道等管理减少术后并发症发生,改善患者生活质量,降低病死率。

Objective To explore the elderly patients with esophageal cancer during operation period processing experience.Methods 2010-01-2012-01 take operation therapy of esophageal cancer,gastric cardia carcinoma 89 cases,divided into the intervention group 45 cases,conventional group 44 cases observation and comparison.Results The intervention group 14 cases had complications,the incidence of 31.11%;the conventional group complications occurred in 30 patients,the occurrence rate of 68.18%,according to statistic analysis,there were significant differences（P 0.05）.Conclusion in elderly patients with esophageal cancer,cardiac cancer patients due to the disease itself on the cause of serious injury and senile physiological function decline,recession,immunity stress ability decline,often accompanied by multiple organ lesions,increased the anesthesia,operation risk,increases the operation period complication incidence and fatality rate.Therefore we should strengthen cancer during operation period processing,preoperative comprehensive evaluation,correct the original complications,reduce intraoperative injury,postoperative respiratory tract management to reduce the complications,improve the quality of life of patients,reduce the mortality rate.