Lubin M F
Division of General Medicine, Emory University School of Medicine, Atlanta, Georgia.
Med Clin North Am. 1993 Mar;77(2):327-33. doi: 10.1016/s0025-7125(16)30254-1.
The question of age as a risk factor for surgery is complicated. There are many factors that have an impact on mortality rates in surgical care of the elderly. The most important of these are the physiologic changes with aging, underlying disease states, the type of procedures performed, and whether the procedure is performed as an emergency. Although there are many risks in performing surgery in elderly patients, there are many patients who do well and benefit from undergoing surgical procedures. Age alone should never be used as the criterion to deny surgery indicated in an elderly patient.
年龄作为手术风险因素的问题很复杂。在老年患者的外科护理中,有许多因素会影响死亡率。其中最重要的是随着年龄增长的生理变化、潜在疾病状态、所进行手术的类型以及手术是否作为急诊进行。尽管老年患者进行手术存在许多风险,但仍有许多患者手术效果良好并从手术中获益。绝不应仅以年龄作为拒绝老年患者进行手术指征的标准。