Frullini A, Trucco P, Butini P, Bussolin L, Cassi R, Fabbrucci P
U.O. Chirurgia e Unità Terapia Intensiva, USL 20/B, Figline Valdarno (FI).
G Chir. 1991 Aug-Sep;12(8-9):427-30.
A good diagnostic protocol as well as a proper preparation to surgery and a careful intensive observation (associated if necessary with an intensive therapy) can lead to a better prognosis in major surgical procedures or routine surgery in poor risk patients. Candidates to ICU are divided in three classes: type A is a stable patient requiring constant monitoring for high probability of complications, type B is still a stable patient who needs an intensive nursing; finally type C is an instable patient who requires a true intensive care. In the surgical department of USL 20/B Figline Valdarno (FI) a postoperative Intensive Care Unit (ICU) has been established in the last three years: a three-bed section with its own staff is located in the surgical department itself. In 37 months 467 operated patients requiring intensive observation or intensive therapy have been admitted.
一个良好的诊断方案、适当的手术准备以及仔细的密切观察（必要时辅以强化治疗）可以使高风险患者的大手术或常规手术预后更佳。入住重症监护病房（ICU）的患者分为三类：A类是病情稳定但因并发症发生概率高而需要持续监测的患者；B类仍是需要精心护理的稳定患者；最后，C类是需要真正重症监护的不稳定患者。在意大利佛罗伦萨省菲格利内瓦尔达诺市USL 20/B的外科，过去三年设立了一个术后重症监护病房：一个配备自有医护人员的三张床位的区域位于外科内部。在37个月里，共收治了467名需要密切观察或强化治疗的手术患者。
