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我院自1978年～1987年共手术治疗食管贲门癌353例,其中70岁以上43例,本文对高龄患者术武选择及并发症的防治进行分析。临床资料一般资料:本组男30例,女13例,70～79岁32例,80～85岁11例。食管中上段癌肿12例,下段11例,贲门胃底癌肿20例。鳞癌18例,腺癌25例。淋巴结转移8例,肝转移4例,切端阳性1例。血浆蛋白在6克以下者8例,血红蛋白在8克以下者11例。病程半个月～2年。临床表现为吞咽困难28例,以胃病为主要表现10例,消化道大出血5例,2例为食管贲门多发原发癌。术前伴发病:43例中40例术前均有不同程度的伴发病,其中高血压冠心病17例,
Our hospital has treated 353 cases of esophageal and cardiac cancers from 1978 to 1987, including 43 cases over the age of 70. This article analyzes the choice of surgical weapons and the prevention and treatment of complications in elderly patients. Clinical data General information: This group of 30 males and 13 females, 70 to 79 years old 32 cases, 11 cases of 80 to 85 years old. In the upper esophagus, there were 12 cases of cancer and 11 cases of the lower esophagus. There were 20 cases of cardia gastric cancer. Squamous cell carcinoma in 18 cases, adenocarcinoma in 25 cases. There were 8 cases of lymph node metastasis, 4 cases of liver metastases, and 1 case of positive cut end. Eight cases had plasma protein below 6 grams, and 11 cases had hemoglobin below 8 grams. The course of two weeks to 2 years. The clinical manifestations were dysphagia in 28 cases, gastropathy as the main manifestation in 10 cases, gastrointestinal hemorrhage in 5 cases, and 2 cases with multiple primary esophageal and cardiac cancers. Preoperative comorbidity: 40 cases out of 43 cases had pre-operative comorbidities of varying degrees, of which 17 cases had hypertension coronary heart disease.