Grellmann A, Cierpka G
Zentralbl Gynakol. 1983;105(22):1416-24.
Problems of preoperative preparation of patients with risk are pointed out. The anesthesiologist will be confronted more and more with high risk patients. It is difficult to make a risk prognosis. Therefore preoperative standardized examination programmes of heart, lungs, kidneys, water and electrolyte balance, blood and general metabolism are required, which is dealt with in this paper. The results achieved in anaesthesia consultation are described. Special attention has to be paid to diabetic obese patients, old people as well as people suffering from cardiovascular diseases. Preoperative therapy with digitalis glycosides, antihypertensive drugs and beta-receptor blocking agents is discussed. By means of specific preoperative measures the increased risk in this group of patients can be considerably reduced.
指出了高危患者术前准备的问题。麻醉医生将越来越多地面对高危患者。进行风险预后评估很困难。因此，需要对心脏、肺、肾脏、水和电解质平衡、血液及全身代谢进行术前标准化检查程序，本文将对此进行探讨。描述了麻醉咨询所取得的结果。必须特别关注糖尿病肥胖患者、老年人以及患有心血管疾病的患者。讨论了术前使用洋地黄苷、抗高血压药物和β受体阻滞剂的治疗方法。通过具体的术前措施，这组患者增加的风险可以大大降低。
