Börner P, Böhme U, Werle K P, Zimmermann P
Geburtshilfe Frauenheilkd. 1978 Jan;38(1):1-10.
The operative treatment of high risk patients is of increasing importance in gynaecology. The preoperative preventive treatment of latent general problems is an important tool in the prevention of intraoperative and postoperative complications. The experience of the department for gynaecology in Hanover, Germany, during 1976 is reported. Among 1583 major operations 158 were carried out on patients in the risk class III. Guidelines are described for the preventive treatment of cardiac, bronchopulmonary, hypertensive and diabetic risks. The importance of obesity and advanced age is discussed in our cases.
高危患者的手术治疗在妇科领域的重要性日益凸显。对潜在全身问题的术前预防性治疗是预防术中及术后并发症的重要手段。本文报道了德国汉诺威妇科科室1976年的经验。在1583例大手术中,有158例是针对III级风险患者实施的。文中描述了针对心脏、支气管肺部、高血压及糖尿病风险的预防性治疗指南。我们还在病例中讨论了肥胖和高龄的重要性。