摘要
目的 探讨高龄结、直肠癌病人并存病的围手术期处理。方法 回顾性分析 1996年 1月至 2 0 0 0年 7月间收治 6 5例 70岁以上有并存病的结、直肠癌病人的外科治疗。结果 并存心脏病 4 0例 ,高血压 17例 ,糖尿病 13例 ,呼吸系统疾病 13例 ,贫血 2 6例 ,低蛋白血症 4 1例。术后并发症有肠瘘 2例 ,伤口裂开 2例、伤口感染 8例 ,肺部感染 3例 ,心功能不全 1例。围手术期死亡 2例。结论 虽然并存病增加了手术风险 ,但术前全面了解病情 ,加强并存病的围手术期处理可大大提高手术成功率 ,降低手术死亡率和并发症发生率。
Objective To explore the perioperative management of the coexisting diseases for the elderly patients with colorectal carcinoma. Methods From January 1996 to July 2000, the experience of surgical treatment for colorectal carcinoma with the coexisting diseases in 65 patients over 70 years old was analyzed retrospectively. Results The coexisting diseases included heart disease (40 cases), hypertension (17 cases), diabetes (13 cases),respiratory diseases (13 cases), abnormal renal function(16 cases),abnormal hepatic function(16 cases), anemia(26 cases),and hypoproteinemia(41 cases). Post-operative complications: anastomotic leakage(2 cases),wound dehiscence (2 cases), wound infection (8 cases), pneumonia (3 cases),cardiac insufficiency (1 case).Two cases died in perioperative period. Conclusion The coexisting diseases increase the risk of surgical procedures, but complete assessment of the patient's general health and intensive perioperative management of the coexisting diseases can increase the success rate of operation and decrease the operative mortality and incidence of complication.
出处
《中国实用外科杂志》
CSCD
北大核心
2004年第2期107-108,共2页
Chinese Journal of Practical Surgery
