【摘要】 目的 本文对204例65岁以上的老年肺癌患者围术期的麻醉管理进行回顾性的经验总结。方法 麻醉采用全静脉或静吸复合麻醉;在围术期内进行呼吸管理和无创心肺监测。结果 全组192例苏醒迅速，12例苏理延迟;178例术毕顺利拔管，21例延迟拔管，无麻醉死亡。结论 年龄并非是决定手术麻醉的唯一因素;认真进行围术期麻醉管理是提高老年人麻醉质量的关键。

    关键词 老年 肺癌 麻醉管理

    Anaesteesia management of perioperaiive period in elderly patents with lung cancer Zhou Yuhong，Huang Yiming.

    Huadong Hospital of Shanghai200040.

    【Abstract】 Objective The results ofanesthetic managrnCElt in204lung cancer patients over65years were reˉviewed.Methods Total intravenous anesthesia or balanced anesthesia with volatile and intravenous agents were used.Pmoperative intensive respiratory care and non-invasive cardiopulmonry monitoring were giver.Results The recovery was rapid in192and delayed in12patients.At the end of operation succesful mtubation was somooth in178and retarded in21cases with no anesthesia death.Conclusion The age is not the sole factor ffecting the decision making o ......