Perez A, Planell J, Bacardaz C, Hounie A, Franci J, Brotons C, Congost L, Bolibar I
Department of Anaesthesia, Consorci Sanitari de Mataró, Hospital, Spain.
Br J Anaesth. 1995 Mar;74(3):250-6. doi: 10.1093/bja/74.3.250.
We have assessed the value of routine preoperative tests in asymptomatic patients and their influence on anaesthetic and surgical decisions. We studied 3131 ASA I and II patients from four general hospitals undergoing elective surgical procedures. A retrospective review of the medical records revealed that 853 (27%) patients had some abnormal test result, of which 465 (15%) were previously unknown and not suspected at the preanaesthetic visit; these comprised 8.6% chest radiographs, 5.6% electrocardiograms and biochemical tests, and 2.9% haematological tests. Perioperative management was altered in only 0.56-0.26% of patients, depending on the particular test. The present study confirms the need for selective and rational ordering of preoperative tests, the basis of which should be the clinical assessment during the preanaesthetic visit.
我们评估了无症状患者术前常规检查的价值及其对麻醉和手术决策的影响。我们研究了来自四家综合医院的3131例接受择期手术的ASA I级和II级患者。对病历的回顾性分析显示，853例（27%）患者有一些异常检查结果，其中465例（15%）在麻醉前访视时此前未知且未被怀疑；这些异常结果包括8.6%的胸部X光片、5.6%的心电图和生化检查以及2.9%的血液学检查。根据具体检查项目，仅0.56 - 0.26%的患者围手术期管理发生了改变。本研究证实了术前检查需要有选择性且合理地安排，其依据应是麻醉前访视时的临床评估。
