90 岁及以上和 100 岁及以上老人的血管介入操作是安全的。
Vascular procedures in nonagenarians and centenarians are safe.
机构信息
Michigan State University and Spectrum Health Hospitals, Grand Rapids, MI 49546-8815, USA.
出版信息
Am J Surg. 2011 Mar;201(3):301-4; discussion 304. doi: 10.1016/j.amjsurg.2010.09.016.
BACKGROUND
An increasing number of elderly patients present for elective and emergent vascular procedures. The purpose of this study was to analyze the 30-day and long-term outcome of patients in their 10th decade of life undergoing vascular procedures.
METHODS
We reviewed the outcomes of all patients in the 10th decade of life included in our registry.
RESULTS
In a 15-year period, there were 176 patients, 102 women and 74 men, with a mean age of 92 (range 90-102) undergoing 196 vascular operations for acute and chronic limb ischemia, aortic and popliteal aneurysms, and carotid stenosis. Overall morbidity and mortality rates were comparable as well as the return to preoperative functional status.
CONCLUSIONS
Patients in their 90s can safely undergo vascular procedures with reasonable early outcomes. Most patients return to their preoperative status. Age alone should not be a determinant in refusing surgery in this age group.
背景
越来越多的老年患者接受择期和紧急血管手术。本研究旨在分析生命的第十个十年接受血管手术的患者的 30 天和长期结果。
方法
我们回顾了我们注册中心中所有生命第十个十年的患者的结果。
结果
在 15 年期间，有 176 名患者，102 名女性和 74 名男性，平均年龄为 92 岁（范围 90-102 岁），接受了 196 例急性和慢性肢体缺血、主动脉和腘动脉瘤以及颈动脉狭窄的血管手术。总体发病率和死亡率以及恢复术前功能状态的情况相似。
结论
90 多岁的患者可以安全地进行血管手术，早期结果合理。大多数患者恢复到术前状态。在这个年龄段，仅凭年龄不应该成为拒绝手术的决定因素。
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