Effenberger T, Schumpelick V
Zentralbl Chir. 1984;109(5):338-46.
Because of continuous progression of age surgery of the aged has become a main problem especially in gastric surgery. 282 cases of more than 70 years old patients undergoing gastric operations between 1964 and 1981 are analyzed. There is a majority of emergency operations (62%), only 16% of the ulcer operations were elective. This caused a high mortality rate (total over 40%) compared with 10% in the elective group. Better results could be obtained by a higher elective rate, i.e. earlier diagnosis.
由于年龄的不断增长,老年患者的手术,尤其是胃部手术,已成为一个主要问题。本文分析了1964年至1981年间282例70岁以上接受胃部手术的患者。急诊手术占大多数(62%),只有16%的溃疡手术是择期手术。与择期手术组10%的死亡率相比,这导致了较高的死亡率(总死亡率超过40%)。通过提高择期手术率,即早期诊断,可以获得更好的治疗效果。