老年人肺癌切除术的并发症及死亡率的影响因素

目的分析影响老年人肺癌切除术并发症及死亡率的因素。方法回顾总结近20年120例70岁以上肺癌手术病人的病情资料，分析影响手术并发症及死亡率的因素。结果充血性心力衰竭及有心肌梗死病史的病人，死亡率明显升高；男性病人、吸烟、FEV1〈40％的病人有更高的术后并发症发病率，肺叶或双叶切除者比楔形切除者高，近7年的手术比以前的手术并发症低。而糖尿病、高血压、及咳嗽、体重下降、胸痛、憋气等临床症状对手术死亡率和并发症发生率无统计学影响。结论老年人的肺癌手术切除是可行的，老龄肺癌病人的手术治疗一方面要持积极的态度，另一方面要加强围术期的管理，尽量减少并发症的发生。

Factors affecting morbidity and mortality after pulmonary resection of elderly lung cancer patients

ion:Objective:To analyze predictors affecting morbidity and mortality after pulmonary resection of elderly patients.Methods:The medical records of elderly patients who had pulmonary resection for lung cancer from 1986 to 2006 were reviewed.Results:Congestive heart failure and prior myocardial infarction,male,smoke,FEV1,extent of pulmonary resection,operation in recent 7 years were factors affecting complications.But diabetes,hypertension,cough,weight loss,chest pain,dyspnea were not associated with increased morbidity.Conclusion:Pulmonary resection for lung cancer of elderly patients is feasible.We should take an active attitude to surgical treatment and enhance the peri-operation management so as to reduce morbidity.