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《Medical Journal of National Defending Forces in Northwest China》 2009-02
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Perioperative management of gastric cancer patients with chronic obstructive pulmonary disease

WANG Xiang-hui,WANG Hai-zhong,LV Zhi-cheng.(Department of Oncology,Lanzhou General Hospital,Lanzhou Command,PLA,Lanzhou 730050,China)  
Objective:To present the experiences in the perioperative management of gastric cancer patients with chronic obstructive pulmonary disease(COPD).Methods: The clinical data of 35 gastric cancer patients with COPD were retrospectively analyzed.Results:Postoperative complications occurred in 13 patients(37.1%),including 11 cases of pulmonary complications.The most common complication was pneumonia(10 cases),combined with respiratory failure(6 cases),atelectasis(2 cases),and pleural effusion(2 cases).One patient died of respiratory failure in the postoperative period.Conclusion:For gastric cancer patients with COPD,operation is a high-risk procedure.It is necessary to assess the patients' general health condition completely and manage the perioperative pulmonary complications intensively.
【CateGory Index】: R735.2
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