Macpherson D S
Department of Medicine, University of Pittsburgh, Pennsylvania.
Med Clin North Am. 1993 Mar;77(2):289-308. doi: 10.1016/s0025-7125(16)30252-8.
Routine preoperative testing of all patients before elective surgery is unjustified. The frequency of unanticipated abnormalities or abnormalities shown to change patient management is too low to justify a practice pattern of testing all patients. Furthermore, little evidence exists that test result abnormalities are associated with perioperative morbidity. Table 12 lists a compilation of the findings from this article and recommendations regarding routine testing.
对所有择期手术患者进行常规术前检查是不合理的。意外异常或显示会改变患者治疗方案的异常情况出现的频率过低，不足以证明对所有患者进行检查这种做法的合理性。此外，几乎没有证据表明检查结果异常与围手术期发病率相关。表12列出了本文的研究结果汇总以及关于常规检查的建议。
