Steinau G, Riesener K P, Werkes S, Willital G H, Schumpelick V
Chirurgische Klinik, RWTH Aachen.
Chirurg. 1995 Apr;66(4):291-6.
Day-care surgery in childhood has to meet the same safety criteria as inpatient care; thus, a knowledge of the risks and limits is mandatory. The kind of operation, its duration, concomitant diseases, the patient's age, previous vaccinations, and social conditions limit the feasibility of day-care surgery. Premature infants under the age of 1 year should not be treated on an outpatient basis because of the higher incidence of early postoperative complications. Above all, anesthesiological problems play an important role in day-care patients; fortunately, most of them are minor complications. During a 14-year period 2179 children were treated in our department on an outpatient basis, resulting in a total complication rate of 1.7% and unexpected inpatient care of 1.1% of the patients in our series. Daycare surgery can be regarded as standard treatment for most of the surgical routine procedures in children.
儿童日间手术必须满足与住院治疗相同的安全标准；因此，了解风险和局限性是必不可少的。手术类型、持续时间、伴随疾病、患者年龄、既往疫苗接种情况以及社会状况都会限制日间手术的可行性。1岁以下的早产儿不应进行门诊治疗，因为术后早期并发症的发生率较高。最重要的是，麻醉问题在日间手术患者中起着重要作用；幸运的是，大多数都是轻微并发症。在14年的时间里，我们科室共对2179名儿童进行了门诊治疗，我们系列研究中的患者总并发症发生率为1.7%，意外住院率为1.1%。日间手术可被视为儿童大多数外科常规手术的标准治疗方法。
