Ueo H, Takeuchi H, Arinaga S, Korenaga D, Furuta T, Tsuji H, Asoh T, Akiyoshi T
Department of Surgery, Kyushu University, Beppu, Japan.
Int Surg. 1994 Apr-Jun;79(2):158-62.
To evaluate the efficacy of a single application of epidural anesthesia without endotracheal intubation for elderly patients over 80 years of age, the data on 108 patients who underwent abdominal surgery were analyzed for the occurrence of postoperative complications. These patients were classified into two groups according to the type of anesthesia performed: 66 received epidural anesthesia alone (Group I) and 42, general anesthesia under endotracheal intubation (Group II). There were no lethal pulmonary complications in Group I, whereas 2 patients (4.8%) died of respiratory failure resulting from pulmonary complications in Group II. The incidence of postoperative pulmonary complications in Group I was 6.1%, which was significantly lower than the 28.6% observed in Group II (p < 0.005). The occurrence of pulmonary complications in Group I was not related to the operating time, while pulmonary complications frequently occurred in patients who underwent lengthy operations in Group II. These findings suggest that a single application of epidural anesthesia would improve the overall safety in performing abdominal surgery in elderly patients over 80 years of age.
为评估单次硬膜外麻醉而非气管插管全身麻醉用于80岁以上老年患者的疗效，分析了108例接受腹部手术患者的术后并发症发生情况。根据麻醉方式将这些患者分为两组：66例仅接受硬膜外麻醉（第一组），42例接受气管插管全身麻醉（第二组）。第一组无致命肺部并发症，而第二组有2例患者（4.8%）死于肺部并发症导致的呼吸衰竭。第一组术后肺部并发症发生率为6.1%，显著低于第二组观察到的28.6%（p<0.005）。第一组肺部并发症的发生与手术时间无关，而第二组中接受长时间手术的患者经常发生肺部并发症。这些发现表明，单次硬膜外麻醉可提高80岁以上老年患者进行腹部手术的总体安全性。
