老年肺癌与青年肺癌患者临床比较分析.docVIP

精品论文 参考文献 老年肺癌与青年肺癌患者临床比较分析 范晨（内蒙古呼和浩特市第一医院胸外科 010000） 【中图分类号】R734.3【文献标识码】A【文章编号】1672-5085（2012）20-0074-02 【摘要】目的 探讨老年肺癌与青年肺癌临床特点，并分析异同。方法 分析我院肿瘤科收治的96例肺癌患者的病例资料。结果 老年肺癌男性多见，病史长，以痰中带血、气短、体重减轻者多见，X线上肺部块影和阻塞性肺炎多见，病理上鳞癌多见占58.3%，纤支镜下以管腔生长的菜花样增殖性为主；青年肺癌中男女比率相当，病史短，以发热、胸水、胸疼为主，X线上以胸腔积液为主占47.9%，病理以小细胞癌、腺癌为主，占41.7%、50%。纤支镜下以管壁浸润增厚为主。结论 早发现和早治疗、及时处理并存病仍是提高肺癌总体治疗的关键。 【关键词】老年肺癌 青年肺癌 临床比较 【Abstract】Objective To investigate the clinical characteristics of lung cancer in the elderly and younger patients with lung cancer,and to analyze the similarities and differences.Method for analysis of tumor in ourhospital was performed in 96 patients with lung cancer cases.The results of lung cancer in elderly men see more,the medicalhistory is long,with blood in the sputum,shortness of breath,weight loss more frequently,radiographic pulmonary masses and obstructive pneumonia to see more,see more pathology squamous cell carcinoma accounted for 58.3%,fiber branch under the mirror to luminal growth of cauliflower proliferative mainly; in youth lung cancer for men and women.In short,history,fever,chest pain,pleural effusion,X-ray to pleural effusion mainly accounted for 47.9%,pathology with small cell carcinoma,adenocarcinoma,41.7%,50%.Fiber branch under the mirror wall thickening mainly infiltration.Conclusion the early detection and early treatment,the timely processing of coexisting diseases is still improving lung cancer overall treatment key. 【Key words】young lung cancer a clinical comparison of aged patients with lung cancer 肺癌是指发生于支气管粘膜或腺体的恶性肿瘤。近年来，国内肺癌的发病率和死亡率明显上升，在城市，肺癌发病率和死亡率已居恶性肿瘤的首位[1]。肺癌在老年人中的发病率趋于平稳并有下降趋势，在青年人中肺癌的发病率逐步上升，每年以4.5%的速度增加[2]。如何对肺癌早发现、早诊断及早治疗才是提高肺癌治愈率的关键。对我院肿瘤科2009年1月-2011年9月收治的96例肺癌患者的临床资料分析比较如下。 1 临床资料 1.1一般资料 96例肺癌患者中：老年肺癌48例，男36例，女12例，男女之比3∶1；青年肺癌48例，男28例，女26例，男女之比1.4∶1。老年肺癌并存疾病较多：慢性支气管炎6例，肺气肿9例，糖尿病2例、高血压7例，冠心病10例。 1.2临床症状 两组均以咳嗽最常见，但老年肺癌：痰中带血36例、气短29例、体重减轻者32例，吸烟者47例，病史3个月以上35例；青年肺癌：发热31例、胸水27例、胸疼39例，吸烟者12例，病史3