摘要
Abstract
Objective To summary the perioperative managements of aged gastric cancer patients combined cardiopulmonary comorbidity. Methods The clinical data of perioperative managements for 150 elderly gastric cancer patients coexisting cardiopulmonary diseases treated in our hospital from March 2002 to August 2009 were analyzed retrospectively. Among them, 77 cases (51. 3% ) were combined cardiovascular diseases and 43 cases (28, 6% ) were combined pulmonary diseases, and 30 cases (20. 0% ) were combined both diseases. There were stage Ⅰ in 3 cases, stage Ⅱ in 11 cases, stage Ⅲ in 106 cases and stage IV in 30 cases according to TNM staging. Results All 150 cases were performed surgical treatment without intraoperative death. There were 48 cases of main postoperative complications, including 16 cases of pulmonary infection, 12 cases of liquefied incision infection, 10 cases of reflux esophagitis, 3 cases of gastroplegia, 2 cases of partial obstruction of export loop, 1 case of anastomotic bleeding, 1 case of duodenal stump fistula, 1 case of abdominal hemorrhage, 1 case of acute pancreatitis and 1 case of acute myocardia infarction. Eight patients died during perioperative period; 6 died of cardiorespiratory function failure, 1 of disseminated intravascular coagulopathy ( DIC) and 1 of acute myocardial infarction. Conclusions Cardiopulmonary comorbidity can increase the operative risk of elderly patients with gastric caner. The exact and reasonable perioperative managements for cardiopulmonary comorbidity not only can reduce the risk of operation, but also decrease the,incidence of operative complication and perioperative mortality.关键词
老年人/胃肿瘤/心血管疾病/呼吸道疾病/围手术期间Key words
aged/stomach neoplasms/ cardiovascular diseases/ respiratory tract diseases/ intraoperative period分类
医药卫生
