Adducci E, De Cosmo G, Onorati F, Cataldo R, Primieri P, Villani A
Facoltà di Medicina e Chirurgia, Istituto di Anestesiologia e Rianimazione, Università Cattolica del Sacro Cuore, Roma.
Minerva Anestesiol. 1993 Jul-Aug;59(7-8):351-5.
A study has been carried out in 435 patients over 80 years old underwent elective or emergency general surgical operations with general or loco-regional anaesthesia in order to evaluate possible risk factors. Preoperative evaluation has shown coexisting cardiovascular and respiratory diseases in 68% of patients. Treatment of functional decline of organ malnutrition and dehydration and use of adequate anaesthesiology management contributed to contain postoperative morbidity and mortality compared with other analogue experiences. The authors conclude that elderly age, although is a risk factor, cannot be considered an absolute contraindication to major surgery. However physiopathological modification of the elderly must be evaluate.
一项针对435名80岁以上接受择期或急诊普通外科手术并采用全身或局部区域麻醉的患者进行了研究,以评估可能的风险因素。术前评估显示68%的患者并存心血管和呼吸系统疾病。与其他类似经验相比,对器官营养不良和脱水导致的功能衰退进行治疗以及采用适当的麻醉管理有助于控制术后发病率和死亡率。作者得出结论,高龄虽然是一个风险因素,但不能被视为大手术的绝对禁忌症。然而,必须评估老年人的生理病理改变。