85例青年和老年肺癌的临床治疗分析

目的探讨青年和老年肺癌的临床特点。方法回顾性分析1999～2007年笔者所在医院收治的85例肺癌患者的临床资料。结果青年肺癌与老年肺癌分别占同期肺癌的4．4％和6％；青年肺癌首发症状以咳嗽、胸痛多见，而老年肺癌以咳嗽、血痰多见；青年肺癌未分化癌居多，而老年肺癌则以鳞癌为多；老年肺癌的发生与吸烟有关；青年肺癌Ⅲ期、Ⅳ期占88．9％，而老年肺癌Ⅰ期、Ⅱ期占55．1％；青年肺癌中心型多，切除率低，并发症明显多于老年肺癌；老年肺癌并存症明显多于青年肺癌。结论青年人肺癌误诊率高，确诊时多为晚期，老年肺癌并存症者多，应预以重视，早期诊断及治疗。

Clinical analysis of 85 cases of juvinile and senile lung cancer

Objective To investigate the clinical characteristies of juvinile and senile lung cancer. Methods The clinical date of 85 cases of juvinile and senile lung cancer from 1999 to 2007 were analyzed. Results Youth lung cancer and lung cancer in elderly lung cancer for the same period were 4.4% and 6% ; the flint symptoms of lung cancer in young people coughing, chest pain Most of the elder cancer with the cough, Xictan more youth mostly undifferentiated carcinoma of lung cancer, and lung cancer in elderly while squamous cell carcinoma;the occurrence of lung cancer in elderly associated with smoking, youth Ⅲ, Ⅳ period of lung cancer accounting for 88.9%, and the elderly lung cancer stage Ⅰ , Ⅱ accounted for 55. 1% of youth central lung cancer, the low rate of resection, tumor caused Complications were more than elderly lung cancer; coexistence of lung cancer in elderly lung cancer significantly more than young people. Conclusion High rates of lung cancer misdiagnosis of young people, mostly when diagnosed late. The coexistence of lung cancer in elderly persons, should have to attach importance to early diagnosis and treatment.