[摘要] 目的 探讨老年肺癌的临床及治疗特点。方法 回顾性分析70例高龄肺癌(≥70岁)患者的临床资料。平均年龄(74.1±2)岁，其中男60例，女10例。手术包括：全肺切除2例，肺叶切除43例(包括双叶切除)，楔形切除5例。结果 本组老年肺癌切除50例，发生肺不张5例，心律失常6例，呼吸功能不全4例。术后死亡率1.4%。结论 虽然高龄肺癌伴有高风险并发症，但年龄并非是一个有意义的预后因素。老年肺癌患者严格掌握手术适应证和做好术前准备，其手术并发症未显著增高。预后的提高着眼于以手术为主的综合治疗。

    [关键词] 老年；肺癌；手术；并发症；预后

    Clinical analysis of the elderly lung cancer

    SHEN Xiao-yong,LV Fan-zhen,Ni Guo-xing,et al.Department of Thoracic Surgery, Huadong Hospital, Shanghai 200040,China

    [Abstract] Objective To explore the elderly lung cancer clinical and treatment feature.Methods To review and analyse the clinical data of 70 cases of the elderly lung cancer(age≥70).Results The mean age was 74.1±2 years.Among them, there were 60 males and 10 females.Operations included:2 cases of pneumonectomy, 43 cases of lobectomy ( including resection of double lobes), 5 cases of wedge shaped resection.Post-operative mortality is 2%.Conclusion Though aged patients have high risk of complications, age is not a meaningful factor of prognosis.For elderly patients, strictly handle operative indications and well arrange pre-operative preparations, there will be no significant increase of surgical complications.The survival time for aged patient of lung cancer depends on surgery as the chief method in the comprehensive treatment. ......