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目的 探讨老年人结直肠癌围手术期处理。方法 回顾性分析 94例 6 0岁以上老年人结直肠癌病人的合并症及围手术期处理情况。结果 有合并症者 87例 (冠心病 5 4例 ,贫血 30例 ,糖尿病 2 6例 ,高血压 2 4例 ,低蛋白血症 1 2例 ,肾功能不全 5例 ) ;术后发生并发症 38例 (支气管感染和肺炎 2 5例 ,电解质紊乱和应激性溃疡各 5例 ,切口感染 4例 ,深静脉血栓形成、呼吸衰竭、肠瘘各 3例 ,切口裂开、尿路感染各 2例 ,感染性休克、心肌梗死急性左心衰、低血糖、切口脂肪液化各 1例 ) ;除了 7例死亡外 ,其余 31例并发症均得到控制。结论 老年人各主要脏器的储备功能减退 ,合并症多 ,恰当的围手术期处理可降低并发症的发生率和手术死亡率。
Objective To explore the perioperative management of colorectal cancer in the elderly. Methods Retrospective analysis of complications and perioperative management of 94 patients with colorectal cancer over 60 years old. Results There were 87 cases of complications (54 cases of coronary heart disease, 30 cases of anemia, 26 cases of diabetes, 24 cases of hypertension, 12 cases of hypoproteinemia, and 5 cases of renal insufficiency); Postoperative complications 38 Cases (25 cases of bronchial infection and pneumonia, 5 cases of electrolyte disturbance and stress ulcer, 4 cases of incision infection, 3 cases of deep vein thrombosis, respiratory failure, intestinal fistula, 2 cases of incision dehiscence and urinary tract infection , Septic shock, acute myocardial infarction left heart failure, hypoglycemia, incision fat liquefaction in 1 case); In addition to 7 deaths, the remaining 31 cases of complications are controlled. Conclusions The major organs of the elderly have reduced reserve function and complications. Proper perioperative management can reduce the incidence of complications and operative mortality.