论文部分内容阅读
目的探讨高龄肺癌患者的手术指征及手术方式,进行术前评估,寻求最佳治疗效果。方法回顾性分析48例高龄肺癌患者的围术期处理经验及外科治疗方法,总结提高高龄肺癌患者治疗效果。结果 48例均行手术治疗,其中左全肺切除6例,右全肺切除1例,肺叶切除40例,肺楔形切除1例。术后共发生并发症16例,发生率为33.3%。其中拔除胸管后气胸2例,肺部感染8例,肺不张2例,心律失常2例,心功能衰竭1例,呼吸功能衰竭1例。无死亡病例。结论高龄肺癌患者经术前全面评估,严格掌握手术指征及手术禁忌证,选择合适的手术方式及时机,做好围术期处理,可以获得满意的治疗效果。
Objective To investigate the surgical indications and operation methods for elderly patients with lung cancer and to evaluate them preoperatively to seek the best therapeutic effect. Methods A retrospective analysis of 48 cases of elderly patients with lung cancer perioperative management experience and surgical treatment, summarizes the treatment of elderly patients with advanced lung cancer. Results All the 48 cases underwent surgical resection. Among them, 6 cases were left pneumonectomy, 1 case was right pneumonectomy, 40 cases were lobectomy and 1 case was lung wedge resection. Postoperative complications occurred in 16 cases, the incidence was 33.3%. Two cases of pneumothorax after pneumothorax were removed, 8 cases of pulmonary infection, 2 cases of atelectasis, 2 cases of cardiac arrhythmia, 1 case of heart failure and 1 case of respiratory failure. No deaths. Conclusion The elderly patients with lung cancer underwent a comprehensive preoperative evaluation. Strict indications of surgical indications and surgical contraindications were obtained. Choosing the appropriate surgical method and timing, and performing perioperative management, satisfactory therapeutic effects can be obtained.