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提高老年患者的手术疗效。方法对１８３例患者的围术期情况进行分析。结果老年肺癌术前ＥＫＧ异常发生率７０．４％（１２９／１８３），肺功能异常发生率８５．８％（１５７／１８３），其它如高血压、糖尿病等异常率５８．８％（１０８／１８３）。手术以肺叶切除为主。术后并发症主要见于肺部、心血管系统，其发生率为３３．８％（６２／１８３）、１６．３％（３０／１８３）。术后随访１、３、５年生存率依次为７１．２％（６９／９７）、３６．５％（２２／６９）、２７．２％（６／２２）。结论加强围术期管理，尤其心肺功能的维护，可提高老年肺癌患者的生存率
Improve the efficacy of surgery in elderly patients. Methods The perioperative period of 183 patients was analyzed. Results The incidence of preoperative EKG abnormalities in elderly patients with lung cancer was 70.4% (129/183). The incidence of abnormal lung function was 85.8% (157/183). Other abnormalities such as hypertension and diabetes were 58.8% (108/ 183). Surgery is mainly based on lobectomy. Postoperative complications were mainly found in the lungs and the cardiovascular system. The incidence was 33.8% (62/183) and 16.3% (30/183). The 1-, 3-, and 5-year survival rates after follow-up were 71.2% (69/97), 36.5% (22/69), and 27.2% (6/22), respectively. Conclusion Strengthen the perioperative management, especially the maintenance of cardiopulmonary function, can improve the survival rate of elderly patients with lung cancer