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目的:分析老年肺癌患者围手术期呼吸并发症发生的原因及预防策略。方法:将62例老年肺癌患者进行围手术期间的伴发疾病、肺功能、手术方法及肿瘤分期等因素进行统计学分析。结果:术前伴有呼吸系统疾病、肥胖及全肺切除均是老年肺癌患者手术后呼吸系统并发症的独立危险因素。结论:充分的术前准备、术中最大限度保留肺组织及术后加强呼吸道管理是减少老年肺癌患者术后呼吸系统并发症的关键。
Objective: To analyze the causes and prevention strategies of respiratory complications in elderly patients with lung cancer during perioperative period. Methods: 62 elderly patients with lung cancer during perioperative companion diseases, lung function, surgical methods and tumor staging and other factors were statistically analyzed. Results: Preoperative respiratory diseases, obesity and pneumonectomy were both independent risk factors for respiratory complications in elderly patients with lung cancer. CONCLUSION: Adequate preoperative preparation, maximum intraoperative lung tissue preservation, and postoperative respiratory management are the keys to reduce postoperative respiratory complications in elderly patients with lung cancer.