Hartung H J, Osswald P M, Johann A
Anasth Intensivther Notfallmed. 1984 Dec;19(6):302-6.
700 patients were included in a prospective study. The course of their disease was followed up and analysed from the day of premedication to 28 days postoperatively. Concomitant diseases as well as intraoperative and/or postoperative complications were documented. Analysis of the complications shows increased incidence depending on the underlying disease. Patients with and without pre-existing diseases of the cardiovascular system and of the respiratory tract or with and without therapy of e.g. pre-existent hypertension were examined. If, for example, pathological changes are seen in the ECG during the preoperative stage, extrasystoles may occur in 10% of the patients intraoperatively, in 2.7% in the awakening room, and in 7.8% in the aftercare ward. The study indicates that preoperatively existent abnormal organ functions exert a direct influence on the complication rate both during the intraoperative and the postoperative phases. Hence long-term planning of postoperative treatment is the more important, the higher the multimorbidity of the patient. This requirement is underlined by the comparison of intraoperative and postoperative mortality curves with 0.42% to almost 8% in the patients examined; the mortality rate of all surgical patients is 3.3%.
700名患者被纳入一项前瞻性研究。从术前用药日至术后28天对其病程进行随访和分析。记录合并疾病以及术中及/或术后并发症。并发症分析显示，并发症发生率因基础疾病而异。对有或无心血管系统和呼吸道既往疾病的患者，以及有或无如既往高血压治疗的患者进行了检查。例如，如果术前阶段心电图出现病理变化，术中10%的患者可能会出现早搏，苏醒室为2.7%，术后护理病房为7.8%。该研究表明，术前存在的器官功能异常对术中和术后阶段的并发症发生率都有直接影响。因此，患者的多种疾病越多，术后治疗的长期规划就越重要。所检查患者的术中和术后死亡率曲线比较为0.42%至近8%，这凸显了这一要求；所有手术患者的死亡率为3.3%。
