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重大手术风险分层中的差异。

Disparity in the risk stratification of major surgery.

作者信息

Birchley D, Carlisle J, Telford R, Thompson J

机构信息

Department of Vascular Surgery, Royal Devon & Exeter Hospital, Exeter, UK.

出版信息

Ann R Coll Surg Engl. 2008 Sep;90(6):W1-2. doi: 10.1308/147870808X303074.

DOI:10.1308/147870808X303074
PMID:18765017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2647269/
Abstract

This case report illustrates the dilemma of risk prediction. In the objective documentation of peri-operative risk, cardiopulmonary testing offers a holistic assessment. At present, availability is limited and, as such, it is important to be mindful of the limitations of other more traditional forms of risk assessment.

摘要

本病例报告说明了风险预测的困境。在围手术期风险的客观记录方面,心肺测试提供了全面的评估。目前,其可获得性有限,因此,必须注意其他更传统风险评估形式的局限性。

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本文引用的文献

1
Mid-term survival after abdominal aortic aneurysm surgery predicted by cardiopulmonary exercise testing.通过心肺运动试验预测腹主动脉瘤手术后的中期生存率。
Br J Surg. 2007 Aug;94(8):966-9. doi: 10.1002/bjs.5734.
2
Epidemiological study of the relationship between volume and outcome after abdominal aortic aneurysm surgery in the UK from 2000 to 2005.2000年至2005年英国腹主动脉瘤手术后手术量与预后关系的流行病学研究。
Br J Surg. 2007 Apr;94(4):441-8. doi: 10.1002/bjs.5725.
3
Provider volume and outcomes for abdominal aortic aneurysm repair, carotid endarterectomy, and lower extremity revascularization procedures.
腹主动脉瘤修复、颈动脉内膜切除术和下肢血管重建手术的医疗服务提供者数量及治疗结果。
J Vasc Surg. 2007 Mar;45(3):615-26. doi: 10.1016/j.jvs.2006.11.019.
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Review of a routine test of cardiac function before aortic aneurysm surgery.
Vascular. 2004 Jul-Aug;12(4):238-42. doi: 10.1258/rsmvasc.12.4.238.
5
Cardiopulmonary exercise testing in the pre-operative assessment of patients for repair of abdominal aortic aneurysm.腹主动脉瘤修复术前患者评估中的心肺运动试验
Ir J Med Sci. 1998 Oct-Dec;167(4):238-41. doi: 10.1007/BF02937421.
6
Current practice in the pre-operative assessment of patients for elective repair of abdominal aortic aneurysm. A survey of UK hospitals.腹主动脉瘤择期修复患者术前评估的当前实践。英国医院调查。
Anaesthesia. 1997 Apr;52(4):367-73. doi: 10.1111/j.1365-2044.1997.az0083b.x.