Yeung M L
Anaesth Intensive Care. 1984 Feb;12(1):33-40. doi: 10.1177/0310057X8401200107.
The incidence of medical diseases in surgical patients was assessed using data gathered from 5944 consecutive anaesthetics. Medical disease which might affect anaesthetic management was present in 23.2% of patients. The commonest diseases were hypertension, anaemia, chronic obstructive airway disease, diabetes mellitus, and pulmonary tuberculosis. No significant difference was detected in sex incidence for ischaemic heart disease and cerebrovascular disease. There was a disproportionate preponderance of males with respiratory diseases. It is suggested that anaesthetics should be administered only by qualified anaesthetists, that the establishment of anaesthetic outpatient clinics is desirable, and that internal medicine should be included in anaesthetic training.
通过收集5944例连续麻醉病例的数据,评估外科手术患者中内科疾病的发生率。23.2%的患者存在可能影响麻醉管理的内科疾病。最常见的疾病是高血压、贫血、慢性阻塞性气道疾病、糖尿病和肺结核。缺血性心脏病和脑血管疾病的性别发病率未发现显著差异。呼吸系统疾病男性患者居多。建议仅由合格的麻醉医生实施麻醉,设立麻醉门诊是可取的,并且麻醉培训中应纳入内科内容。