目的探讨老年食管癌围手术期处理体会。方法 2010-01-2012-01采取手术治疗食管癌、贲门癌89例,分为干预组45例,常规组44例观察比较。结果干预组发生并发症14例,发生率31.11%;常规组发生并发症30例,发生率68.18%,经统计学分析,P<0.05差异有统计学意义。结论老年食管癌、贲门癌患者由于疾病本身对机体造成严重损伤加之老年生理功能下降,机体免疫力衰退、应激能力衰退,常伴有多个脏器病变,增加了麻醉、手术风险,增加了围手术期并发症发生率及病死率。因此应加强癌围手术期处理,术前进行全面评估、纠正原有并发症、术中减少损伤、术后加强呼吸道等管理减少术后并发症发生,改善患者生活质量,降低病死率。 Objective To investigate the perioperative management of elderly esophageal cancer. Methods From January 2010 to January 2012, 89 patients with esophageal cancer and cardiac cancer underwent surgical treatment. They were divided into intervention group (n = 45) and routine group (n = 44). Results Complication occurred in 14 cases (31.11%) in the intervention group and 30 cases (68.18%) in the conventional group. The difference was statistically significant (P <0.05). Conclusion Elderly patients with esophageal and cardiac cancer due to the disease itself caused serious damage to the body and physiological decline in the elderly, the body’s immune system decline, the ability to decline in stress, often accompanied by multiple organ disease, increased anesthesia, surgical risk and increased Perioperative complications and mortality. Therefore, we should strengthen perioperative treatment of cancer, preoperative comprehensive assessment, to correct the original complications, surgery to reduce injury, postoperative respiratory and other management to reduce postoperative complications, improve patient quality of life and reduce mortality.