老年普胸病人手术治疗及围手术期处理.docVIP

老年普胸病人手术治疗及围手术期处理 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：老年普胸病人手术治疗及围手术期处理 1 1 资料与方法 3 2 结果 4 3 讨论 5 文2：27例老年肿瘤病人围手术期处理临床分析 7 1　临床资料 7 2　讨论 8 参考文摘引言： 12 原创性声明（模板） 13 文章致谢（模板） 14 正文 老年普胸病人手术治疗及围手术期处理 文1：老年普胸病人手术治疗及围手术期处理 【ABSTRACT】 Objective:To study surgical data,surgical approaches and perioperative management on geriatric patients over 70 yea with :From June 1996 to June 2005,578 cases with thorace were performed general thoracic operatio in our them the geriatric suffere over 70 yea were 118 cases,occupying %(118/578).At present,we will amlce a retrospective analysis concerning surgical therapeutics and perioperative management in the 118 geriatric suffere,cotituting %(24/118),had the complicatio of circulatory system in and after the surgical operation;29 suffere,taking up %(29/118),had the complicatio of respiratory system;19 suffere,cotituting %(19/118),had the complicatio of digestive system and 10 suffere,cotituting %(10/118),had the complicatio of nervous cases mentioned above were all cured when they were discharged from the 1year,3year and 5year survival rate is %,% and %,:The perioperative management on geriatric patients over 70 yea with thoraces is quite significant,because the organic deterioration in each system and the complicatio of the disease can mutually facilitate the aggravation of the pathogenetic the surgical risk is much more ,if only the surgical approaches are selected suitably,the processes of surgical operatio are managed exactly and the perioperative coues are handled appropriately,the operative effects on geriatric patients over 70 yea of thoraces are satisfactory. 【KEY WORDS】 General thoracic patient;Surgical therapeutics;Perioperative management 近些年，随着人们生活水平的提高，社会人口已迈进老龄化，因此老年患者接受手术率逐年增加。由于老年患者体质差，各器官的储备能力低下且常常合并有高血压、冠心病、慢性阻塞性肺部疾病、肝硬化和糖尿病等疾病，因此，对手术治疗提出了更高的要求。我院自～月手术治疗普胸病人578例，其中70岁以上的老年患者118例占%（118/578）。此118例老年普胸病人手术经过顺利，可围术期处理难度较大，但经综合治疗，效果满意，现对老年普胸病人手术治疗及围术期处理体会进行总结。 1 资料与方法 一般资料 本组共118例，男76