目的探讨合并慢性阻塞性肺病(COPD)的老年直肠癌患者的围手术期处理。方法对40例中度以上COPD直肠癌患者进行静态肺功能评估,并进行正确的围手术期处理,研究其对患者术后的影响。结果术后心律失常4例,COPD症状加重8例,肺部感染6例,二重感染4例,呼吸功能衰竭2例,内科治疗后均缓解;伤口感染5例,无围手术期死亡。结论虽然合并COPD患者增加了手术风险,但正确内科治疗及处理,可以降低手术并发症发生率。 Objective To investigate the perioperative management of elderly patients with rectal cancer complicated with chronic obstructive pulmonary disease (COPD). Methods Forty patients with moderate to advanced COPD with rectal cancer underwent static pulmonary function assessment and the correct perioperative management was performed to study their effects on postoperative patients. Results 4 cases of postoperative arrhythmia, 8 cases of exacerbation of COPD, 6 cases of pulmonary infection, 4 cases of double infection, respiratory failure in 2 cases, relieved after medical treatment; wound infection in 5 cases, no perioperative death. Conclusions Although the patients with COPD have an increased risk of surgery, the correct medical treatment and treatment can reduce the incidence of surgical complications.