Baeyens J P
Acta Chir Belg. 1983;Suppl:82-9.
Mortality and morbidity of surgery in the very old patient is much less than generally accepted. Age on his own is never a good reason to refuse surgical intervention. Good assessment after extended interrogation of patient and family, clinical examination and eventually technical procedures will reveal a number of other diseases. The higher the number of other diseases the higher will be the risk of the operation. More attention is needed for the quality of life after the operation. The fact that the patient will remain independent for the activities of daily living is for the very old patient more important than his 5-year survival. I am wondering why the number of female who come to operation is relatively lower than the men. A possible explanation is the fact that to many very old people receive to much nursing care and not enough real medical care.
高龄患者手术的死亡率和发病率远低于普遍认知。年龄本身绝不是拒绝手术干预的充分理由。通过对患者及其家属进行详细询问、临床检查以及最终的技术手段进行全面评估，会发现许多其他疾病。其他疾病数量越多，手术风险就越高。术后生活质量需要更多关注。对于高龄患者而言，能够保持日常生活自理比其5年生存率更为重要。我想知道为何接受手术的女性人数相对低于男性。一个可能的解释是，许多高龄老人得到的护理过多，而真正的医疗护理不足。
