摘要
目的：了解老年肺癌的临床特征、诊治特点和生存状态。方法：对210例60岁以上肺癌患者临床资料进行回顾分析。结果：老年肺癌以男性居多，吸烟比例高；咳嗽、咳痰、咯血、低热、气短等为首发症状，15．3％合并慢性肺疾病；误诊率23．3％，以呼吸道感染、肺结核为主；纤维支气管镜检查为主要确诊手段，鳞癌居多，腺癌、小细胞癌次之；Ⅲ a-Ⅳ期肺癌占贷．2％；化疗、生物免疫制剂及中药治疗为主，手术仅占11．9％。结论：老年肺癌临床症状不典型，容易误诊，确诊时大多为晚期，所以对于有大量吸烟史、合并慢性肺疾病者等肺癌高危人群应定期查体、宣教，警惕久治不愈的呼吸道症状的变化。早期诊断，采取有效积极的治疗措施，可提高老年肺癌患者的生存期，改善生存状态。
Objective：To investigate the clinical features , and state in the aged patients with lung cancer. Methods：A retrospective analysis was used, the data came from hospitalized cases. Results：Old males and smoking persons were more among all 210 patients with lung cancer . The fist symptom were cough, spit sputum, hemoptysis , low fever, dyspnea ,etc. There were 15.3% patients with chronic lung diseases. The misdiagnosis rate was 23.3%, sach as respiratory tract infection, tuberculosis, etc. The fiber bronchus mirror check was main method of diagnosis. The lung scale cancer was mostly in all cases, next gland cancer and small cell lung cancer. The Ⅲ a-Ⅳ stage lung cancer in 65.2% , operation therapy in 11.9%. Conclusion：The clinical symptom of aged patients with lung cancer isnt typical, diagnosis are not easy. So for the dangerous people who had long smoking history and with chronic lung diseases, should periodically health check -up and health teaching to prevent lung cancer.
出处
《现代肿瘤医学》
CAS
2006年第5期568-569,共2页
Journal of Modern Oncology
关键词
老年人
肺癌
诊断
治疗
aged
lung cancer
diagnosis
treatment
