超高龄胃肠道肿瘤围手术期处理 |
| |
引用本文: | 周红伟,胡承恩,秦立晕,徐建明,黄广建. 超高龄胃肠道肿瘤围手术期处理[J]. 河北医学, 2013, 0(11): 1683-1686 |
| |
作者姓名: | 周红伟 胡承恩 秦立晕 徐建明 黄广建 |
| |
作者单位: | [1]江苏省常州市第七人民医院普外科,江苏常州213000 [2]复旦大学附属华山医院普通外科,上海200040 |
| |
摘 要: | 目的:分析总结超高龄胃肠道肿瘤患者的临床特点和围手术期处理方法。方法:回顾性分析经手术治疗的36例80岁以上胃肠道肿瘤患者的病例资料。结果:36例中29例合并有1—5种不同类型的术前并存病。急诊手术4例,限期手术32例;根治手术19例,姑息手术17例。术后11例出现并发症,其中9例出现2种以上的并发症,最多1例出现6种并发症。围手术期死亡1例。结论:超高龄胃肠道肿瘤患者常并存一种或多种不同类型的并存病,增加了外科手术的风险性。加强围手术期管理对有效降低病死率,提高外科治疗的成功率有重要意义。
|
关 键 词: | 超高龄 胃肠道肿瘤 围手术期处理 |
Perioperative Management for Over the Age of 80 Geriatric Patients with Gastrointestinal Tumor |
| |
Affiliation: | ZHOU Hongwei, et al ( The Seventh People's Hospital of Changzhou, Jiangsu Changzhou 213000, China ) |
| |
Abstract: | Objective: To analyse and summarize the clinical characteristics and the perioperative management for super-elderly ( over the age of 80 } geriatric patients with gastrointestinal tumor. Method: Data of 36 patients ( 〉 80 years old ) received operations for gastrointestinal tumors were analyzed retrospective- ly. Result: 29 patients with 1 to 5 coexsting diseases and 4 emergency operations and 32 date-choose ones, or 31 radical operations and 5 palliative ones. Postoperative complications were found in 11 cases, and among them, 9 patients had two or more kinds of complications and one patient had six ones. One patient died in perioperative period. Conclusion: Coexisting diseases in geriatric patient with gastrointestinal tumor added |
| |
Keywords: | Super-elderly Gastrointestinal tumor Perioperative management |
本文献已被 维普 等数据库收录! |
|