目的:探讨老年糖尿病患者合并贲门癌的围手术期血糖的处理方法及注意事项。方法:对我院近10年老年贲门癌合并糖尿病162例患者的诊治情况进行回顾性分析。结果:162例患者中2例死亡,死亡率1.24%,并发症发生率16.04%。结论:围手术期内合理应用胰岛素控制血糖,是减少手术死亡率和并发症发生率的关键。 Objective: To discuss the treatment and precautions of perioperative blood glucose in elderly patients with diabetes and cardia cancer. Methods: A retrospective analysis was made on the diagnosis and treatment of 162 cases of elderly patients with cardiac cancer and diabetes mellitus in our hospital in recent 10 years. Results: Two of 162 patients died, with a mortality rate of 1.24% and a complication rate of 16.04%. Conclusion: Perioperative rational use of insulin to control blood sugar is the key to reduce the incidence of surgical mortality and complications.