Poppelbaum H F
Zentralbl Chir. 1977;102(5):278-82.
Elective surgical procedures in old age can be planned and the patient be prepared for surgery. In contrast to this emergency procedures have a much higher risk. Beyond the 7th decade the mortality rate has a steep increase and in the 9th decade comes to more than 50%. In cases of ileus and peritonitis with preoperative shock the mortality is about 90%. The operation time ist of decisive importance, it should be as short as possible. Having an experience anaesthesiologist at disposal, the used anaesthesiologic method is of less interest.
老年患者的择期外科手术可以进行规划,并且患者可以为手术做好准备。与此形成对比的是,急诊手术的风险要高得多。超过70岁后,死亡率急剧上升,到90岁时超过50%。对于肠梗阻和伴有术前休克的腹膜炎患者,死亡率约为90%。手术时间至关重要,应尽可能短。有经验丰富的麻醉医生可供使用时,所采用的麻醉方法就不那么重要了。