摘要
目的探讨65岁以上老年胃癌病人胃癌术后呼吸道并发症的原因及预防治疗。方法回顾性分析1996年1月至2005年12月间我院行65岁以上胃癌切除术病人的临床资料。结果研究期间65岁以上老年胃癌病人行胃癌切除术共95例,术前合并呼吸道疾病者26例;术后并发急性气管支气管炎、肺炎、肺不张等共25例,术前有无呼吸道伴发病者分别为12例(46.2%),13例(18.8%),统计学差异有显著性意义。手术死亡1例,因胸腔积液和肺部感染死于呼吸功能衰竭。结论65岁以上合并有呼吸道疾病者胃癌术后急性气管支气管炎、肺部感染和肺不张发生率高,手术前后的呼吸道疾病的发生将增加手术风险,应重视围术期处理。
Objective： To investigate the cause, prevention and treatment of postoperative complication of respiratory system in patients over 65 years underwent gastrectomy for gastric cancer. Methods： From January 1996 to December 2005 the clinical data of patients older than 65 and underwent gastrectomy for carcinoma of the stomach in our hospital were analyzed retrospectively. Results： Of 95 patients over 65 years underwent gastrectomy for gastric cancer, 26 were with preoperative respiratory tract disease, 25with acute tracheobronchitis, pulmonary infection and atelectasis , and 8 with abdominal complications. Of 25 acute tracheobronchitis ,pulmonary infection and atelectasis , 12 （46.2%） and 13 （18.8%）, respectively, were recorded in patients with or without coexistent respiratory tract disease, 2 of the abdominal complications （wound dehiscence） related to respiratory disease, 1 patients died of respiratory complication postoperatively. Conclusion： The postoperative morbidity of pulmonary tract in elderly patients un- derwent gastrectomy for cancer of the stomach is higher in patients with preoperative respiratory system disease then those withont this disease . The preoperative or postoperative respiratory system disease increase postoperative abdominal incision complication and operation risk . The perioperative management is important for patients with preoperative or postoperative disease of respiratory system.
出处
《现代肿瘤医学》
CAS
2007年第3期387-388,共2页
Journal of Modern Oncology
关键词
胃癌
胃切除术
呼吸道
并发症
stomach neoplasma
gastrectomy
respiratory system
comphcaton.
