中国医药导刊
中國醫藥導刊
중국의약도간
Chinese Journal of Medical Guide
2015年
10期
1018-1019,1027
,共3页
老年根治性全胃切除术%并发生%发生原因%防治策略
老年根治性全胃切除術%併髮生%髮生原因%防治策略
노년근치성전위절제술%병발생%발생원인%방치책략
Elderly radical total gastrectomy%Complications%Causes%Prevention strategy
目的:分析老年根治性全胃切除术后并发症的发生原因及其防治策略。方法:统计我院2010年1月~2014年9月收治的259例老年胃癌患者的临床资料,进行分组分析。结果:并发症组和无并发症组患者的年龄、白细胞计数、白蛋白水平、肿瘤直径、术中失血量、手术时间、经胸腹联合手术、联合脏器切除、术前合并症、肝硬化、慢性阻塞性肺疾病、糖尿病、心血管系统疾病、术中输血、体重下降、营养不良之间的差异均显著(P<0.05)。结论:老年根治性全胃切除术后并发症的发生原因包括联合脏器切除、经胸腹联合手术、术前合并症、白蛋白水平、术中失血量、术中输血,临床应积极采取有针对性的防治策略将患者的术后并发症发生率降到最低。
目的:分析老年根治性全胃切除術後併髮癥的髮生原因及其防治策略。方法:統計我院2010年1月~2014年9月收治的259例老年胃癌患者的臨床資料,進行分組分析。結果:併髮癥組和無併髮癥組患者的年齡、白細胞計數、白蛋白水平、腫瘤直徑、術中失血量、手術時間、經胸腹聯閤手術、聯閤髒器切除、術前閤併癥、肝硬化、慢性阻塞性肺疾病、糖尿病、心血管繫統疾病、術中輸血、體重下降、營養不良之間的差異均顯著(P<0.05)。結論:老年根治性全胃切除術後併髮癥的髮生原因包括聯閤髒器切除、經胸腹聯閤手術、術前閤併癥、白蛋白水平、術中失血量、術中輸血,臨床應積極採取有針對性的防治策略將患者的術後併髮癥髮生率降到最低。
목적:분석노년근치성전위절제술후병발증적발생원인급기방치책략。방법:통계아원2010년1월~2014년9월수치적259례노년위암환자적림상자료,진행분조분석。결과:병발증조화무병발증조환자적년령、백세포계수、백단백수평、종류직경、술중실혈량、수술시간、경흉복연합수술、연합장기절제、술전합병증、간경화、만성조새성폐질병、당뇨병、심혈관계통질병、술중수혈、체중하강、영양불량지간적차이균현저(P<0.05)。결론:노년근치성전위절제술후병발증적발생원인포괄연합장기절제、경흉복연합수술、술전합병증、백단백수평、술중실혈량、술중수혈,림상응적겁채취유침대성적방치책략장환자적술후병발증발생솔강도최저。
Objective: To analyze the causes and prevention strategies of elderly radical total gastrectomy complications.Methods:The clinical data of 259 cases of elderly patients with gastric cancer who were treated in our hospital from January 2010 to September 2014 were statistically analyzed.Results:The differences of age, white blood cell count,albumin level,tumor diameter,intraoperative blood loss,operative time,after thoracoabdominal surgery,combined organ resection,preoperative comorbidities,cirrhosis,chronic obstructive pulmonary disease,diabetes,cardiovascular disease,blood transfusion,weight loss malnutrition between group with complications and group without complications were significantly (P<0.05).Conclusion:Elderly radical total gastrectomy complications causes include joint organ resection,after thoracoabdominal surgery,preoperative comorbidities,albumin level,intraoperative blood loss,intraoperative blood transfusion,the clinical should actively adopt control strategies to reduce the incidence of postoperative complications of the patients to the minimum.