Becker T
Z Alternsforsch. 1978;33(1):11-21.
The diagnosis in the field of surgery of the old age is to be standarized if you suppose that not all illnesses or consequences of accidents are the real problem, but the old age which is accompanied by multi-illnesses. So it must be examined in how far it is possible to realise the great existing risk. Besides most of the operations of the old age belong to the urgent surgery and care connected with a great risk. A standardized diagnosis must think of the individual factors and must recognize--because of the little time--the most important signs of the heart circulation-, the lung-and the kidney-function. This must be united with the results of the diagnosis of the organes to a pre- and postoperative therapeutic programme.
如果你认为并非所有疾病或事故后果才是真正的问题,而是伴随多种疾病的老年状况才是问题所在,那么老年外科领域的诊断就需要标准化。因此,必须考察在多大程度上能够认识到现存的巨大风险。此外,大多数老年手术都属于紧急手术,且伴有极大风险。标准化诊断必须考虑个体因素,并且由于时间紧迫,必须识别出心脏循环、肺部和肾脏功能的最重要体征。这必须与器官诊断结果相结合,形成一个术前和术后的治疗方案。