Reignier M, Mendes da Costa P, Levarlet M, Ansay J, Gelin M, Lambilliotte J P
Acta Chir Belg. 1985 Mar-Apr;85(2):139-46.
Between October 1, 1977 and June 30, 1983, 139 G.I. tract operations were performed in patients over 80 years-old. 45,3% were post-operatively admitted to the I.C.U.; the criteria for admission were emergency surgical interventions, the type and duration of the operation. The operative mortality was 15,8%. Contributory factors were the type of the intervention, its curative nature and the necessity for post-operative reanimation. The urgent nature of the intervention as well as the histology of the lesion had no bearing on the mortality. Local complications were noted in 34,5% of the cases and were mainly superficial and deep wound infections. General complications, mainly involving the cardio-pulmonary and urinary tract systems, occurred in 68,3% of the cases. Morbidity was mainly associated with the timing of the intervention.
1977年10月1日至1983年6月30日期间，对80岁以上患者进行了139例胃肠道手术。45.3%的患者术后被收入重症监护病房；入院标准为急诊手术干预、手术类型和持续时间。手术死亡率为15.8%。促成因素包括干预类型、治疗性质以及术后复苏的必要性。干预的紧迫性以及病变的组织学与死亡率无关。34.5%的病例出现局部并发症，主要是浅表和深部伤口感染。全身并发症主要累及心肺和泌尿系统，发生率为68.3%。发病率主要与干预时机有关。
