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目的:探讨老年肺癌患者全肺切除的围手术期处理方法。方法:对我院31例老年肺癌患者的术前准备、手术方法及术后处理进行回顾性分析总结。结果:本组31例患者术前均通过手术安全性评估,但术后出现呼吸衰竭再次插管者7例,其中右全肺切除5例,左全肺切除2例;术后发生严重心律失常者9例,其中窦性心动过速3例,阵发性室上性心动过速4例,频繁室性心律失常2例;术后早期出现心功能衰竭者3例,所有患者经正规围手术期处理后无一例死亡。结论:老年肺癌患者全肺切除术后并发症多,病死率高,术后早期易出现呼吸、循环系统并发症,强调积极地做好围手术期处理是降低术后并发症和病死率的关键。
Objective: To investigate the perioperative management of pneumonectomy in elderly patients with lung cancer. Methods: 31 cases of elderly patients with lung cancer in our hospital preoperative preparation, surgical methods and postoperative management were retrospectively analyzed and summarized. Results: All the 31 patients underwent surgical safety assessment before operation, but 7 patients underwent re-intubation after respiratory failure. Among them, 5 cases were right pneumonectomy and 2 cases were left pneumonectomy. Serious arrhythmia occurred after operation In 9 cases, of which 3 cases of sinus tachycardia, paroxysmal supraventricular tachycardia in 4 cases, frequent ventricular arrhythmias in 2 cases; early postoperative heart failure in 3 cases, all patients underwent formal surgery No one died after treatment. CONCLUSIONS: Elderly patients with lung cancer have more complications after pneumonectomy and high mortality, and are prone to respiratory and circulatory complications in the early postoperative period. Emphasizing that active perioperative management is the key to reducing postoperative complications and mortality .