八十多岁老人的腹部大手术。
Major abdominal surgery in the over-eighties.
作者信息
Palmer C A, Reece-Smith H, Taylor I
机构信息
University Surgical Unit, Southampton General Hospital.
出版信息
J R Soc Med. 1989 Jul;82(7):391-3. doi: 10.1177/014107688908200707.
We report a prospective controlled trial looking at the outcome of major abdominal surgery judged on the ability of patients to return to their preoperative activity level. Eighty patients were included in the study. Forty of these were over 80 years old and the remainder in the age group 40-65 years. Fifty-four per cent of the over 80s demonstrated an increased level of dependance six months after surgery compared to 18% of the 40-65 year olds. The mortality rate at six months was 42% for the over 80 group. The poor prognosis of elderly surgical patients not only in their increased mortality rate but also in their dependency should be considered before they are subjected to major abdominal surgery.
我们报告了一项前瞻性对照试验，该试验根据患者恢复术前活动水平的能力来评判腹部大手术的结果。该研究纳入了80名患者。其中40名年龄超过80岁，其余的年龄在40 - 65岁之间。80岁以上的患者中有54%在术后六个月出现依赖程度增加，而40 - 65岁组的这一比例为18%。80岁以上组六个月时的死亡率为42%。老年外科患者预后较差，不仅死亡率增加，而且存在依赖问题，因此在对他们进行腹部大手术之前应予以考虑。
Zotero 插件