Elderly colorectal cancer complicated by respiratory perioperative.docVIP

 PAGE \* MERGEFORMAT 12 Elderly colorectal cancer complicated by respiratory perioperative Author: Tu period of the Qing Jian-Sheng Li Yu Zhu Li Teng Keywords: colorectal cancer age of perioperative respiratory disease Colorectal cancer is a common malignant tumor, surgical resection is the primary means of treatment. Authors from January 2000 to June 2007 on the 70-year-old colorectal cancer in 17 cases of respiratory diseases with a clear surgical patients, their perioperative management reports is as follows. A clinical data 1.1 General Information 17 cases of patients, 11 males and 6 females; aged 70 to 89 years, mean 75.4 years of age. L colon, rectum all five cases, three cases of descending colon, sigmoid colon cancer, transverse colon in 2 cases. Emergency surgery in 3 cases, elective surgery in 14 cases. Cure in 15 cases, palliative in 2 cases. Colostomy in 4 cases (3 Phase Ⅱ routine surgery, 1 case of permanent fistula). Pathological examination showed both adenocarcinoma. Associated with chronic bronchitis, emphysema in 12 cases, including 2 patients with pulmonary heart disease, with bronchial asthma in 3 cases. In addition, bronchiectasis, tuberculosis, and 1 cases of interstitial pneumonia in 3 cases. 5 cases of diabetes mellitus, hypertension in 3 cases, 2 cases of coronary heart disease, anemia in 3 cases, 4 cases of hypoproteinemia. 1.2 In addition to ECG, chest X-ray and other conventional intake screening, this group were done preoperatively pulmonary function, arterial blood gas analysis measured echocardiography. 17 cases of patients with X-ray showed pulmonary emphysema performance. The group of 14 patients with moderate preoperative pulmonary function test showed restrictive ventilatory dysfunction, 3 patients with severe obstructive ventilatory dysfunction. Patients with pulmonary function screening, such as the mismatch may affect the results, accompanied by General Tang stairs in patients w