Bille J, Regis H, Pelissier J F
Ann Anesthesiol Fr. 1977;18(5-6):463-6.
Under the very broad term of brain in the elderly, we cannot consider exhaustively all the anatomical, physiopathological and pathological aspect and, still less, the therapeutic possibilities in diseases of the anesthetist should know concerning the special characteristics of this aging organ. First are recalled the anatomical, macro and microscopic data of the senile brain. The metabolic characteristics are then considered. Investigations which may give the clinician information concerning the organic state and metabolic capacities of the brain of the elderly subject, e.g. cerebral blood flow, fundus oculi, E.E.G. brain arteriography, tacography or tomodensitometry by scanner, are consideres. But in practice, they are difficult to use and their data are only relatively reliable, i.e. clinical examination is of great imporatnce and the overall impression prevails. The therapeutic possibilities are limited and in these elderly subjects with cerebral metabolism in unstable equilibrium, one should be circumspect and careful in treatment.
在“老年人的大脑”这一非常宽泛的术语范畴内，我们无法详尽地考量所有解剖学、生理病理学及病理学方面，更不用说麻醉医生应该了解的关于这个衰老器官特殊特征的疾病治疗可能性了。首先回顾一下老年大脑的解剖学（宏观和微观）数据。接着考虑其代谢特征。诸如脑血流量、眼底、脑电图、脑动脉造影、触觉描记法或通过扫描仪进行的体层密度测定等能为临床医生提供有关老年受试者大脑器质性状态和代谢能力信息的检查方法也被提及。但在实际操作中，这些方法使用起来有困难，其数据也只是相对可靠，也就是说临床检查非常重要，总体印象起主导作用。治疗可能性有限，在这些脑代谢处于不稳定平衡状态的老年受试者中，治疗时应谨慎小心。
