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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 investigate perioperative management of coexisting disease in elderly patients with colorectal cancer. Methods A retrospective analysis of surgical treatment of 65 patients with colorectal cancer who were over 70 years old between January 1996 and July 2000 was performed. Results There were 40 cases of heart disease, 17 cases of hypertension, 13 cases of diabetes, 13 cases of respiratory diseases, 26 cases of anemia and 41 cases of hypoalbuminemia. Postoperative complications were intestinal fistula in 2 cases, wound split in 2 cases, wound infection in 8 cases, pulmonary infection in 3 cases, cardiac insufficiency in 1 case. Perioperative death in 2 cases. Conclusions Although concurrent disease increases the risk of surgery, the preoperative comprehensive understanding of the condition and the improvement of perioperative management can greatly improve the success rate of surgery and reduce the incidence of surgical mortality and complications.