González Alvarez M I, Reig del Moral C, Herrera Martín M, Cuadrado Bello P
An Esp Pediatr. 1985 Jul;23(1):26-30.
To asses the value of preoperative tests in pediatric patients, a retrospective study of 722 surgical patients was undertaken. No unsuspected abnormalities or underlying diseases leading to the cancellation or postposition of surgery were found. Neither anaesthesia nor postoperatory complications were prevented by means of this procedure. We conclude that detailed anamnesis and physical examination are the most effective screening procedures and that radiologic and laboratory tests should be restricted to help in diagnosis and evaluation of the patient in emergency surgery and when the anamnesis, physical examination or a specific kind of surgery recommend it.
为评估术前检查在儿科患者中的价值,我们对722例外科手术患者进行了一项回顾性研究。未发现导致手术取消或延期的意外异常或潜在疾病。通过该程序既未预防麻醉也未预防术后并发症。我们得出结论,详细的病史采集和体格检查是最有效的筛查程序,并且放射学和实验室检查应限于在急诊手术中以及病史采集、体格检查或特定类型的手术推荐时帮助诊断和评估患者。