摘要
为探讨70岁以上高龄结直肠癌患者围手术期的处理方法，回顾性分析134例70岁以上有并存病的高龄结直肠癌患者临床资料。并存心血管疾病74例（55．2％），糖尿病27例（20．1％），呼吸系统疾病18例（13．4％），肝功能异常9例（6．7％），肾功能异常7例（5．2％），贫血、低蛋白血症及营养不良98例（73．1％）。134例患者中，127例行切除性手术，手术切除率为94．8％。术后发生并发症38例，并发症发生率28．3％，死亡5例，病死率3．7％。结果表明，70岁以上高龄结直肠癌患者围手术期处理至关重要。若能妥善处理好并存病，对提高手术切除率，减少并发症，降低死亡率，改善愈后有着重要的意义。
For the aim of exploring perioperative management methods author analysed the clinical data of 134 elderly（≥70yr） patients with colorectal carcinoma and concomitant diseases. Among them there were concomitant cardiovascular diseases in 74 cases（55.2 %）, diabetes in 27 cases（20.1%）, respiratory diseases in 18 cases （13.4%）, liver dysfunction in 9 cases（6. 7%）,renal dysfunction in 7 cases（5.2%）, 98 cases （73.1%） with enemia, hypoproteinemia and inanition; 127 cases were subjected to resectable operation, the resection rate was 94.8 %. Postoperative complication occured in 38 cases, the rate was 28. 3 % ; 5 patients died,the rate was 3.7 %. These results indicate that to elderly patients（≥70yr） perioperative management is vital; appropriately managing concomitant diseases has important significance to increasing resection rate, reducing complication, decreasing mortality and improving prognosis of patients.
出处
《中国肛肠病杂志》
2007年第4期16-18,共3页
Chinese Journal of Coloproctology
关键词
结直肠肿瘤
围手术期
老年人
Colorectal neoplasms
Perioperation
Elderly
