高龄肺癌手术后心肺并发症的原因和对策

目的总结28例70岁以上老年肺癌手术治疗的经验.方法分析老年肺癌术后心肺合并症的原因和处理方法.结果本组住院期间死亡2例,发生肺不张6例,呼吸衰竭4例,心律失常20例,急性心衰4例.1年生存率82.1%(23/28),3年生存率40.0%(6/15).结论生理年龄和心理素质是影响高龄肺癌患者外科治疗的重要因素.围术期处理是手术成功的保证.

Etiology and management of postoperative complication in elder patients with lung cancer

Objective To summarize the experience in surgical treatment in elder patients aged over 70 years old in 28 cases of lung cancer. Methods The etiology of cardiopulmonary complications after operation in the elder patients with lung cancer and the relevant strategy of management were explored. Results In this group, the postoperative mortality was 2/28. There were 4 cases complicated with respiratory failure, 6 with atelectasis, 20 with arrhythmia,and 4 with cardiac failure. The one-year survival was 82. 1% (23/28) , and 3-year survival was 40.0% (6/15) respectively. Conclusion Physiological age and psychologic tolerance are two important factors affecting the outcome of surgical treatment of lung cancer in the elderly. Emphasis on perioperative management assures the successful recovery after operation.