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目的:探讨高龄结直肠癌手术患者围手术期处理中应注意的事项及处理方法。方法:回顾总结65例70岁以上结直肠癌手术患者的围手术期临床资料。结果:65例患者中,有心肺并存病46例,占70.7%,低蛋白血症、贫血17例,占26.1%,糖尿病11例,占17%,肝功能异常6例,占9.2%,肾功能异常3例,占4.6%,术后并发症有心肺并发症19例,外科并发症主要有尿潴留、切口感染、创面出血、吻合口或造瘘口狭窄等。因呼吸衰竭围手术期死亡1例。结论:要重视高龄结直肠癌患者围手术期的处理,术前积极处理并存病,术中精细操作,术后注意重要脏器功能监测,发现异常及时处理,以确保围手术期安全。
Objective: To investigate the issues and treatment of perioperative management of elderly colorectal cancer patients. Methods: The perioperative data of 65 patients with colorectal cancer over the age of 70 were retrospectively reviewed. Results: Of the 65 patients, there were 46 cases of cardiopulmonary diseases (70.7%), hypoproteinemia, 17 cases of anemia (26.1%), 11 cases of diabetes (17%), 6 cases of liver dysfunction (9.2% There were 3 cases with abnormal function, accounting for 4.6%. Postoperative complications included 19 cases of cardiopulmonary complications. The main complications were urinary retention, incisional infection, wound bleeding, anastomotic stoma or stenosis. A case of perioperative death due to respiratory failure. Conclusion: We should pay attention to perioperative management of elderly patients with colorectal cancer, preoperative management of coexisting disease, fine operation, pay attention to the monitoring of important organ function after operation, abnormal and timely treatment to ensure perioperative safety.