摘要
目的 探讨老年人食管癌的外科治疗。方法 总结 10 1例 6 0～ 83岁老年食管癌患者的手术。结果 术后并发症31例 (30 .6 % ) ,呼吸系统并发症 2 3例 (74 % ) ,其中肺炎 7例 ,呼吸功能不全 6例 ;吻合口瘘 3例 ;胃排空障碍 3例 ,心衰 1例 ,心律紊乱 1例。死亡 3例 ,其中呼衰 2例 ,吻合口瘘 1例。结论 老年人开胸手术并发症高 ,术前必须最大限度地改善患者的全身状况。对麻醉、手术及术后处理提出较高要求 ,其中以心肺并发症为防治重点 ,年龄不应成为手术禁忌。
Objective To analyse operative treatment of carcinoma of esophagus in aged patients. Methods The clinical experiences of perioperation and postoperation of 101 patients,60 83 years old were studied. Results Postoperation complication occured in 31 patients(30.6%),such as 23 cases of respiratory systemic complication,10 cases of pulmonary atelectasis,7 cases of pneumonia,6 cases of respiratory insufficiency, 3 cases of anastomotic fistula,3 cases of dysfunction of gastric emptying ,one case of heart failure ,one case of arrhythmia ,2 cases died of respiratory failure,one died of anastomotic fistula. Conclusion Complications occurred more frequently in aged patients undergoing thoracotomy. The patients biophysical and pathophysical conditions have to be carefully prepared to meet the perioperative demands,especially heart and lung functions. Age should not be regarded as operative contraindication.
出处
《重庆医学》
CAS
CSCD
2002年第5期380-381,共2页
Chongqing medicine
关键词
食管癌
外科治疗
老年人
治疗
carcinoma of esophagus
surgical treatment
elder
