| 70岁以上老年结直肠癌50例的围手术期处理 |
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| 引用本文： | 卞红磊,赵发,郭伶俐.70岁以上老年结直肠癌50例的围手术期处理[J].中国临床保健杂志,2006,9(2):118-119. |
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| 作者姓名： | 卞红磊 赵发 郭伶俐 |
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| 作者单位： | 河北医科大学第三临床医院肛肠科,石家庄,050051 |
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| 摘 要： | 目的方法探讨围手术期高龄结直肠癌的处理。方法回顾性分析1995年至2004年期间50例70岁以上结直肠癌患者的临床资料。结果高龄结直肠癌入院前误诊率较高(38%),并存病多(52%),病程较晚(DukesC、D期占60%),术后并发症多(34.8%)。结论手术切除是治疗高龄结直肠癌患者的首选方法,围手术期处理正确以及预防和治疗并发症是提高疗效的关键。
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| 关 键 词： | 结直肠肿瘤 围手术期医护 老年人 |
| 文章编号： | 1672-6790(2006)02-0118-02 |
| 收稿时间： | 07 19 2005 12:00AM |
| 修稿时间： | 2005年7月19日 |
Experience of perioperation treatment of the 50 elderly cases of colorectal carcinoma |
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| BIAN Honglei,ZHAO Fa,GUO Lingli.Experience of perioperation treatment of the 50 elderly cases of colorectal carcinoma[J].Chinese JOurnal of Clinical Healthcare,2006,9(2):118-119. |
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| Authors: | BIAN Honglei ZHAO Fa GUO Lingli |
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| Institution: | Department of Surgical Coloproctology, The Third Clinical Hospital of Hebei Medical U- niversity, Shijiazhuang 050051, China |
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| Abstract: | Objective To investigate the treatment of the elderly patients with colorectal carcinoma in perioperation.Methods Retrospective analysis on the experience of treatment for colorectal carcinoma in 50 patients aged 70years and over from 1995～2005.Results The result showed that misdiagnosis rate was high(38%),most of patients had other diseases(52%),most of patients were in DukesC、 D(60%),post operation complication rate was 34.8%.Conclusion The operation is an ideal way to treat the elderly patients with colorectal carcinoma.Reasonable nutritional support correct management of preexisting diseases,fully bowel preparation,appropriate choice of anesthesia,operation procedure,an effective method for prevention and treatment of complication are important.Prevention and treatment of complication in perioperation is the critical in the elderly patients with colorectal carcinoma. |
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| Keywords: | Colorectal neoplasms Perioperative eare Aged |
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