Musazzi M, Caron R, Caldana G, Morbidelli A, Florianello F
II Divisione di Chirurgia, Generale, USSL n. 68--Presidio Ospedaliero di Rho, Milano.
Minerva Chir. 1994 Sep;49(9):799-802.
The authors describe a series of 139 over-eighty patients (M = 53, F = 86), who underwent emergency surgery between 1-1-1987 and 30-6-1993. They consider diagnosis, copathology, type of surgical procedures, postoperative complications and final results. In this series they study 73 large bowel obstruction and 48 peritonitis. They notice important copathologies in 78% of patients, in particular cardiovascular diseases. They performed 74 mayor surgical procedures with 48% of postoperative complications and exitus in 24% of cases, due overall to exacerbation of coexisting diseases. The authors underline the direct between mortality rate and number of copathologies, and analyze the basic rules to follow in surgical indications and during the postoperative period.
作者描述了139例80岁以上的患者(男性53例,女性86例),他们在1987年1月1日至1993年6月30日期间接受了急诊手术。作者对诊断、合并病理学、手术方式、术后并发症及最终结果进行了考量。在该系列研究中,有73例大肠梗阻患者和48例腹膜炎患者。他们发现78%的患者存在重要的合并病理学情况,尤其是心血管疾病。他们实施了74例大手术,术后并发症发生率为48%,24%的病例死亡,总体原因是并存疾病的加重。作者强调了死亡率与合并病理学情况数量之间的直接关系,并分析了手术指征及术后应遵循的基本原则。