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老年食管癌的外科治疗
引用本文:王明荣,杨康,杨军民,王海东.老年食管癌的外科治疗[J].重庆医学,2002,31(5):380-381.
作者姓名:王明荣  杨康  杨军民  王海东
作者单位:第三军医大学西南医院胸心外科,重庆,400038
摘    要:目的:探讨老年人禽管癌的外科治疗,方法:总结101例60-83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23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。

关 键 词:食管癌  外科治疗  老年人  治疗
文章编号:1000-7911(2002)05-0380-02

Operative for carcinoma esophagus in aged patients
WANG Ming rong,YANG Kang,YANG Jun min,et al..Operative for carcinoma esophagus in aged patients[J].Chongqing Medical Journal,2002,31(5):380-381.
Authors:WANG Ming rong  YANG Kang  YANG Jun min  
Abstract: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.
Keywords:carcinoma of esophagus  surgical treatment  elder
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