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目的分析和总结老年胃癌的临床特点。方法老年胃癌患者入院后,对可能增加手术风险的因素,尽可能在术前予以纠正。必要时,在术后继续处理。术中、术后严密观察病人全身情况,发现问题及时处理。结果158例老年胃癌患者,其中118例(74.6%)患有高血压、心脏病、糖尿病等老年常见病。术后发生并发症共35例。手术前有共存病者,术后并发症的发生率为25.63%;而手术前无共存病者,术后并发症的发生率为12.5%。结论老年胃癌患者常患有高血压、心脏病、糖尿病等疾病。加强围手术期处理,可提高手术的安全性,减少并发症的发生。
Objective To analyze and summarize the clinical features of elderly gastric cancer. Methods After admission to hospital for elderly patients with gastric cancer, the factors that may increase the risk of surgery, as far as possible before surgery to be corrected. If necessary, continue treatment after surgery. Intraoperative and postoperative close observation of the patient’s general condition and found that the problem is handled promptly. Results 158 cases of elderly patients with gastric cancer, of which 118 cases (74.6%) suffering from hypertension, heart disease, diabetes and other common diseases of the elderly. Postoperative complications occurred in 35 cases. Preoperative coexistence patients, the incidence of postoperative complications was 25.63%; and no coexistence before surgery, the incidence of postoperative complications was 12.5%. Conclusion The elderly patients with gastric cancer often suffer from high blood pressure, heart disease, diabetes and other diseases. Strengthen the perioperative management, can improve the safety of surgery and reduce the incidence of complications.