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目的探讨老年胃癌患者术后并发症的发生情况及预防、处理措施。方法选取老年胃癌患者68例,行根治性手术51例,姑息性手术17例;联合胰体尾切除4例,脾切除3例,横结肠切除6例。分析患者术后并发症。结果 68例患者手术后出现并发症29例(42.65%),其中8例同时出现2种或2种以上并发症,包括肺部感染14例,心律失常9例,心功能不全5例,切口感染7例,下肢深静脉血栓2例,肺栓塞1例,吻合口漏1例,胰漏1例。康复出院77例,肺栓塞死亡1例。结论老年胃癌患者术后并发症发生率较高,术前应仔细评估患者的心、肺、肝、肾功能及凝血机制,合理选择手术方式,降低术后并发症的发生率,提高生存质量。
Objective To investigate the occurrence of postoperative complications in elderly patients with gastric cancer and their prevention and management measures. Methods Sixty-eight elderly patients with gastric cancer were selected. 51 patients underwent radical surgery and 17 underwent palliative surgery. 4 patients underwent combined pancreatic and body resection, 3 patients underwent splenectomy, and 6 patients underwent transverse colon resection. Analysis of postoperative complications. Results There were 29 cases (42.65%) of complications after operation in 68 patients, of which 8 cases had 2 or more complications at the same time, including 14 cases of pulmonary infection, 9 cases of arrhythmia, 5 cases of cardiac insufficiency, and wound infection. In 7 cases, there were 2 cases of deep vein thrombosis of the lower extremities, 1 case of pulmonary embolism, 1 case of anastomotic leakage, and 1 case of pancreatic leakage. Seventy-seven patients recovered from the hospital and one died of pulmonary embolism. [Conclusion] The incidence of postoperative complications is higher in elderly patients with gastric cancer. The heart, lung, liver and kidney function and coagulation mechanism of patients should be carefully evaluated before surgery. Reasonable surgical methods should be selected to reduce the incidence of postoperative complications and improve the quality of life.