【摘要】 目的探讨减少高龄食管胃交界腺癌患者术后并发症的措施。方法对我科2002年1月～2006年3月收治的73例高龄食管胃交界腺癌患者的临床特点和并发症处理进行回顾性分析。结果73例高龄食管胃交界腺癌患者中有56例(76.71%)患有高血压、心脏病、肺部疾患,糖尿病等老年人常见病。56例术前存在合并病而术后发生并发症者31例,发生率55.36%;术前无合并病17例,术后发生并发症4例,发生率为23.52%;两组术后并发症比较有显著差异(χ2=5.29,P<0.05)。结论加强对食管胃交界腺癌手术患者围手术期处理,可减少手术的风险性和减少并发症的发生。更多还原

【Abstract】 Objective To investigate how to reduce the post operative elderly patients. Methods From January 2002 to March 2006, 73 elderly patient with adenocarcinoma of the oesophagogastric junction in the clinical feature and management of postoperative complications were analyzed retrospectively. Results Among them, 56 cases had conconitant, including hypertension, heart disease, pulmonary disease and diabetes mellitus etc. In the 56 cases with preoperative concomitant diseases, postoperative complications were happened in 31 cases(55.36%,31/56). However, in the no preoperative concomitant disease of 17 cases, postoperative complications were happened only 4 cases (23.5%). Comparison of the postoperative complications had significant difference between two groups (χ2=5.29,P<0.05). Conclusion If perioperative is streng thened, it would reduce the operative risk and occurrence of complications.更多还原