老年人肺癌组织学类型和临床分析.docVIP

老年人肺癌组织学类型和临床分析 　　摘要：目的 探讨老年人原发性肺癌病例的临床病理特征变化及意义。方法 分析组织学类型、流行病学和临床特征、测量淋巴细胞和凝血功能。结果 72例老年人肺癌中鳞癌32例（44.4%）、腺癌29例（40.3%）、大细胞癌1例（1.4%）、小细胞癌7例（9.7%）、腺鳞癌3例（4.2%）。发生在右肺43例（59.7%），左肺24例（33.3%）。男性64例（88.9%），女性8例（11.1%）。男女之比为8.0：1。发病年龄为60～89岁，平均年龄68.8岁，其中，男性平均年龄68.5岁，女性平均年龄71.0岁。60～70岁44例（61.1%），≥71岁28例（38.9%）。企事业单位36例（50.0%），农民20例（27.8%）。有肺外转移47例（65.3%），伴有慢性阻塞性肺疾病（COPD）21例（29.2%），伴有肺部感染11例（15.3%），伴有静脉栓塞1例（1.4%）。血浆纤维蛋白原（Fib）4.8g/l（正常值1.8～3.5g/l）。结论 本组老年人肺癌以鳞癌和腺癌为主，右肺发病率高于左肺，男性比例明显高于女性，Fib高于正常水平。 　　关键词：老年人；肺癌；组织学类型；临床分析；淋巴细胞；血液凝固 　　Histological Type and Clinical Analysis of Lung Cancer in the Elderly 　　XIE Jing-chen1，LI Wei-si2，WENG Yang3，XIE Wu-ju1，YE Kun-ni1，XIE Wan-sheng4 　　（1.Department of Respiratory Medicine，Danzhou City First Peoples Hospital，Danzhou 571700，Hainan，China；2.School of Clinical Medicine，Hainan Medical College，Danzhou 571700，Hainan，China；3.Department of Pathology，The First Afiliated Hospital of Hainan Medical College，Danzhou 571700，Hainan，China；4. Medical Imaging Students of Grade 2011 of Hainan Medical College，Danzhou 571700，Hainan，China） 　　Abstract：Objective To study the clinical and pathological characteristics of primary lung cancer in the elderly over ten years.Methods Analysing of histological？type， epidemiological and clinical characteristics，measuring lymphocytes and blood coagulation function.Results A total of 32 cases were squamous cell carcinoma（44.4%），29 cases were adenocarcinoma（40.3%），1 cases were large cell carcinoma（1.4%），7 cases were small cell carcinoma（9.7%），3 cases were adenosquamous carcinoma（4.2%）.The study had 43 cases in the right（59.7%） and 24 cases in the left lung（33.3%）.Lung cancer was identified in 64 men（88.9%） and 8 women（11.1%）.The occurrence ratio of male to female was 8.0：1.The age of onset was from 60 to 89.The mean age was 68.8.The male mean age was 68.5.The female mean age was 71.0.The age of 60～70 was 44 cases（61.1%），greater than or equal to 71 age was 28 cases（38.9%）.From Enterprises and public institutions we