老年乳腺癌手术的麻醉

Anesthesia for breast cancer surgery in the elderly.

作者信息

Samain Emmanuel, Schauvliège Franck, Deval Bruno, Marty Jean

机构信息

Department of Anesthesiology, Beaujon Hospital, Assistance Publique-Hôpitaux de Paris, University of Paris 7, 100 Bvd du Général Leclerc, 92110 Clichy, France.

出版信息

Crit Rev Oncol Hematol. 2003 May;46(2):115-20. doi: 10.1016/s1040-8428(02)00122-1.

DOI:10.1016/s1040-8428(02)00122-1

PMID:12711356

Abstract

Anesthesia for breast cancer surgery in the elderly requires a specific approach, taking into account physiological and psychological alterations secondary to aging. Breast surgery is a low specific risk surgery, and perioperative risk is mainly dependent of the presence and severity of co-morbidity. It may be reduced by careful evaluation and stabilization of concurrent diseases, at best done through a multidisciplinary approach. In view of anesthetic technique adjustment to medical condition, most geriatric patients may undergo breast cancer surgery with a low incidence of perioperative complications.

摘要

老年乳腺癌手术的麻醉需要一种特定的方法，要考虑到衰老继发的生理和心理改变。乳腺手术是一种特异性风险较低的手术，围手术期风险主要取决于合并症的存在及其严重程度。通过仔细评估并稳定并存疾病，最好采用多学科方法，可降低这种风险。鉴于根据病情调整麻醉技术，大多数老年患者可接受乳腺癌手术，围手术期并发症发生率较低。