胃癌合并慢性阻塞性肺病的围手术期处理

目的：探讨胃癌合并慢性阻塞性肺病（COPD）的围手术期处理。方法：回顾性总结了35例胃癌合并COPD患者围手术期的处理。结果：35例患者中术后13例发生并发症（37．1％），其中肺部并发症11例，占术后并发症的84．6％。肺部感染10例，其中肺部感染合并呼吸衰竭6例、肺不张2例、胸腔积液2例。死亡1例，为严重肺部感染并呼吸衰竭。结论：当胃癌患者合并COPD时，手术虽非禁忌，但属高危人群。应完善术前评估，加强围手术期的监测，即时处理肺部并发症。

Perioperative management of gastric cancer patients with chronic obstructive pulmonary disease

Objective： To present the experiences in the perioperative management of gastric cancer patients with chronic obstructive pulmonary disease （COPD）. Methods： The clinical data of 35 gastric cancer patients with COPD were retrospectively analyzed. Results： Postoperative complications occurred in 13 patients （37. 1% ）, including 11 cases of pulmonary complications. The most common complication was pneumonia （10 cases）, combined with respiratory failure （6 cases）, atelectasis （2 cases）, and pleural effusion （2 cases）. One patient died of respiratory failure in the postoperative period. Conclusion： For gastric cancer patients with COPD, operation is a high -risk procedure. It is necessary to assess the patients＇ general health condition completely and manage the perioperative pulmonary complications intensively.