摘要
目的:分析总结超高龄胃肠道肿瘤患者的临床特点和围手术期处理方法。方法:回顾性分析经手术治疗的36例80岁以上胃肠道肿瘤患者的病例资料。结果:36例中29例合并有1-5种不同类型的术前并存病。急诊手术4例,限期手术32例;根治手术19例,姑息手术17例。术后11例出现并发症,其中9例出现2种以上的并发症,最多1例出现6种并发症。围手术期死亡1例。结论:超高龄胃肠道肿瘤患者常并存一种或多种不同类型的并存病,增加了外科手术的风险性。加强围手术期管理对有效降低病死率,提高外科治疗的成功率有重要意义。
Objective： To analyse and summarize the clinical characteristics and the perioperative management for super-elderly （ over the age of 80 } geriatric patients with gastrointestinal tumor. Method： Data of 36 patients （ 〉 80 years old ） received operations for gastrointestinal tumors were analyzed retrospective- ly. Result： 29 patients with 1 to 5 coexsting diseases and 4 emergency operations and 32 date-choose ones, or 31 radical operations and 5 palliative ones. Postoperative complications were found in 11 cases, and among them, 9 patients had two or more kinds of complications and one patient had six ones. One patient died in perioperative period. Conclusion： Coexisting diseases in geriatric patient with gastrointestinal tumor added
出处
《河北医学》
CAS
2013年第11期1683-1686,共4页
Hebei Medicine
关键词
超高龄
胃肠道肿瘤
围手术期处理
Super-elderly
Gastrointestinal tumor
Perioperative management
