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目的:探讨老年大肠癌手术后出现严重并发症的相关性危险因素,为临床治疗干预提供参考。方法:记录349例老年大肠癌手术患者的围手术期假定相关临床因素、术后并发症,经统计学分析,寻找老年大肠癌术后严重并发症的相关危险因素。结果:349例术后出现严重并发症43例,术前血清白蛋白、术后第1天动脉血乳酸、血糖及72h液体平衡值(手术当天、术后第1天、术后第2天),术前基础病、并存症、手术当天出血量及输血量、72h是否转为液体负平衡在大肠癌术后发生严重并发症组与无严重并发症组间差异有统计学差异(P<0.05)。结论:术前血清白蛋白、术后第1天动脉血乳酸、血糖及72h液体平衡值,术前基础病、并存症、手术当天出血量及输血量、72h是否转为液体负平衡是老年大肠癌手术严重并发症的相关因素。
Objective: To explore the risk factors associated with serious complications of elderly colorectal cancer after operation, and provide reference for clinical treatment intervention. Methods: A total of 349 elderly patients with colorectal cancer undergoing perioperative hypotheses were enrolled in this study. Postoperative complications and postoperative complications were recorded. Statistical analysis was performed to find the relevant risk factors for postoperative serious complications of elderly patients with colorectal cancer. Results: There were 43 cases of serious complications in 349 cases, preoperative serum albumin, arterial blood lactate, blood glucose and 72h liquid balance (the day of operation, the first day after operation and the second day after operation) , Preoperative basic disease, coexisting disease, blood loss on the day of surgery and blood transfusion, 72h whether the liquid negative balance in patients with colorectal cancer after serious complications and no serious complications were statistically significant difference (P <0.05 ). Conclusion: Preoperative serum albumin, arterial blood lactic acid, blood glucose and 72h fluid balance, preoperative basic disease, coexisting disease, blood loss and blood transfusion on the first day after operation, Factors related to serious complications of cancer surgery.