Davies J M
Department of Anaesthesia, Foothills Hospital, University of Calgary, Alberta, Canada.
Yale J Biol Med. 1991 Jul-Aug;64(4):329-49.
Patients presenting for surgery, be it on an elective or emergency basis, do so in the hope that the anesthetic will be without risk. Yet complications which arise are not always due to anesthesia. More often, the surgical process and factors intrinsic to the patient are major determinants of outcome. Pre-operative assessment allows review of the patient and the proposed surgery, and formation of a plan of management for the pre-, intra-, and post-operative anesthetic care. This paper provides an overview of the pre-operative assessment and management of patients who are to undergo upper abdominal surgery, with the aim of minimizing their risk of post-operative pulmonary complications. In particular, factors which contribute to the development of post-operative respiratory problems are described.
接受手术的患者，无论是择期手术还是急诊手术，都是怀着麻醉无风险的希望前来的。然而，出现的并发症并非总是由麻醉引起的。更常见的是，手术过程和患者自身的因素是结果的主要决定因素。术前评估有助于对患者和拟进行的手术进行检查，并制定术前、术中和术后麻醉护理的管理计划。本文概述了接受上腹部手术患者的术前评估和管理，旨在将其术后肺部并发症的风险降至最低。特别描述了导致术后呼吸问题发生的因素。
