Johnson J C
Department of Medicine, University of Pennsylvania, Philadelphia.
Clin Geriatr Med. 1987 Aug;3(3):463-71.
This article reviews the current data on mortality rates of elderly patients undergoing major thoracic and abdominal surgery, those procedures most applicable to cancer surgery. The major morbidity of surgery is discussed in relation to normal aging physiology of the heart, lungs, and kidneys. Preoperative risk assessment is discussed in relation to clinical assessment, laboratory and radiologic assessment, and the use of indexes developed to estimate surgical risk. General recommendations important in the perioperative period are given as well as specific recommendations for patients with cardiac disease, cerebrovascular disease, hypertension, thromboembolic disease, diabetes mellitus, and renal disease.
本文回顾了接受胸腹部大手术的老年患者的死亡率现有数据，这些手术最适用于癌症手术。讨论了手术的主要并发症与心脏、肺和肾脏的正常衰老生理之间的关系。还讨论了术前风险评估与临床评估、实验室和放射学评估以及用于估计手术风险的指标的使用。给出了围手术期重要的一般建议以及针对患有心脏病、脑血管疾病、高血压、血栓栓塞性疾病、糖尿病和肾脏疾病患者的具体建议。
