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目的 探讨老年人胃癌围手术期的处理。方法 回顾性分析了 1 991年 1月至 1 999年 1月 1 32例70岁以上胃癌病人的外科处理。结果 老年人胃癌起病隐匿 ,以上腹饱胀、隐痛、梗阻及贫血为主要临床表现 ,绝大多数有其他合并症。根治性切除 76例 ,姑息性切除 31例 ,切除率 81 .1 %。术后并发症发生率 1 9.7% ,围手术期病死率 5 .3%。结论 对老年人胃癌 ,应争取早期诊断 ,及时治疗。除加强围手术期营养支持外 ,充分的术前准备 ,适当的手术时机与手术方式的选择 ,完善的麻醉及心肺功能监测 ,精细简洁的手术操作 ,是提高根治性切除 ,减少并发症 ,降低病死率的有效方法
Objective To investigate the perioperative management of gastric cancer in the elderly. Methods A retrospective analysis of the surgical treatment of 132 patients with gastric cancer over the age of 70 from January 1991 to January 1999 was performed. Results The incidence of gastric cancer in the elderly was insidious. The main clinical manifestations were abdominal fullness, pain, obstruction and anemia. The vast majority had other complications. There were 76 cases of radical resection, 31 cases of palliative resection, and the resection rate was 81.1%. The postoperative complication rate was 9.7% and the perioperative mortality rate was 5.3%. Conclusion For the elderly gastric cancer, should strive for early diagnosis and timely treatment. In addition to enhancing perioperative nutritional support, adequate preoperative preparation, appropriate timing of surgery and surgical options, a sound anesthesia and cardiopulmonary monitoring, fine and simple surgical procedures, is to improve the radical resection, reduce complications and reduce Effective method of fatality rate