摘要
目的:探讨老年胃癌病人临床特点。方法:收治>50岁胃癌患者45例,对临床资料进行回顾性分析。结果:胃癌根治性切除36例,姑息性切除9例;并存高血压、冠心病、慢性支气管炎、糖尿病等慢性病30例,术后并存病加重致各种并发症12例,其中术后因并存病加重致死亡3例。结论:老年胃癌患者并存病多,术后并发症重,应该做到早期诊断,及时治疗,加强围手术期管理,掌握适当的手术时机及手术方法,是提高疗效关键。
Objective:To investigate the clinical characteristics of elderly patients with gastric cancer.Methods:45 cases over 50 years old patients with gastric cancer were retrospectively analyzed from 1998 February to 2013 March.Results:36 cases of radical resection of gastric cancer,9 cases of palliative resection;30 cases of hypertension,coronary heart disease,chronic bronchitis,diabetes and other chronic diseases,12 cases coexist worse caused by all kinds of complications,including 3 died cases caused by both worse postoperative complications.Conclusion:The elderly patients with gastric carcinoma coexisting diseases,complications after operation,should be early diagnosis,timely treatment,and the key to improve the curative effect is to strengthen perioperation management,master the appropriate opportunity and method of operation.
关键词
老年
胃癌手术
围手术期处理
The elderly
Gastric cancer operation
Perioperative period
