COHN R, CLOSE M B, MATHEWSON C
Calif Med. 1957 May;86(5):299-301.
From the point of view of the surgeon, as repeatedly emphasized in the surgical literature, the mortality rate for operations upon old persons is only slightly higher for elective surgical operations than for the same operations on younger persons when proper preoperative and postoperative precautions are taken. However, the mortality rate for emergency operations is much higher in old persons than in younger ones. Many surgeons believe, therefore, that disease for which operation is otherwise indicated should be treated surgically irrespective of the age of the patient per se. The authors' experience with operations upon old persons at the San Francisco Hospital accords with these conclusions.
从外科医生的角度来看,正如外科文献中反复强调的那样,在采取适当的术前和术后预防措施的情况下,老年人择期手术的死亡率仅比年轻人进行相同手术时略高。然而,老年人急诊手术的死亡率比年轻人高得多。因此,许多外科医生认为,对于那些在其他情况下需要手术治疗的疾病,无论患者本身的年龄如何,都应进行手术治疗。作者在旧金山医院对老年人进行手术的经验与这些结论相符。