De Angelis G, Biraghi T, Lenna G, Sampietro R
Divisione Chirurgica L. Resnati, Ospedale S. Carlo Borromeo, Milano.
Minerva Chir. 1991 Jul;46(13-14):755-9.
Authors present the experience about 266 elderly patients treated by surgery since 1985 to 1990. The range of the patient's age is comprised between 74 and 89. 113 patients (42%) have been treated in emergency, with 12% mortality. Authors report the different experiences in relation to various kinds of operations: thorax, vascular, digestive surgery, and to their level of trauma to the patients; "major surgery" distinguished from "little surgery". Elderly age is not considered as an inhibiting limit to major surgery. Only the emergency treatment leads to different situations with more risks. Absolutely necessary in the knowledge of the physiopathological modification of the elderly, and his nutritional and performance status.
作者介绍了自1985年至1990年对266例老年患者进行手术治疗的经验。患者年龄范围在74岁至89岁之间。113例患者（42%）接受了急诊手术，死亡率为12%。作者报告了与各类手术相关的不同经验，包括胸部手术、血管手术、消化外科手术，以及这些手术对患者的创伤程度；区分了“大手术”和“小手术”。高龄并不被视为大手术的限制因素。只有急诊治疗会带来更多风险的不同情况。了解老年人的生理病理改变及其营养和身体状况是绝对必要的。
