Frey P
Schweiz Med Wochenschr. 1979 Oct 27;109(41):1562-4.
The question whether a patient may be amenable to surgery involving anesthesia depends on many different factors and can only be answered by the anesthetist-surgeon team. The internist, on the other hand, will determine the degree of functional impairment of particular organ systems and cooperate in preoperative preparation of the patient. Patients with obstructive pulmonary disease are particularly at risk, especially during the postoperative period. The search for pulmonary symptoms is therefore extremly important. The limiting values given in medical literature are not absolute. Through preoperative therapy, the choice of suitable anesthetic methods and optimal postoperative care in an efficient intensive care unit, the risk of perioperative mortality and morbidity for this "poor risk patient" can be reduced almost to the level of the average surgical patient.
患者是否适合接受涉及麻醉的手术取决于许多不同因素，并且只能由麻醉医生 - 外科医生团队来回答。另一方面，内科医生将确定特定器官系统的功能损害程度，并在患者的术前准备中进行合作。患有阻塞性肺病的患者尤其危险，特别是在术后期间。因此，寻找肺部症状极为重要。医学文献中给出的极限值并非绝对。通过术前治疗、选择合适的麻醉方法以及在高效的重症监护病房进行最佳的术后护理，这种“高风险患者”围手术期死亡率和发病率的风险几乎可以降低到普通外科患者的水平。
