Kraas E, Schwermann R, Gögler H, Beger H G, Bittner R
Zentralbl Chir. 1977;102(5):297-304.
1005 case histories of patients, older than 70 years, were studied retrospectively: 496 abdominal interventions (lethality - 29%), 509 extraabdominal interventions (lethality - 14%). In each patient 75 preoperative data are compared to 50 data of the intraoperative and postoperative period. There is a correlation between preoperative findings and postoperative complications and lethality. The main factors of risk are: Hb less than 10 g%, Creatinine greater than 1,5 mg%. The analysis implies the necessity of intensive preoperative therapy as well as the immediate correction of even slight post-operative deviations of the "norm".
对1005例70岁以上患者的病历进行了回顾性研究:496例腹部手术(死亡率-29%),509例腹部外手术(死亡率-14%)。对每位患者的75项术前数据与术中和术后的50项数据进行了比较。术前检查结果与术后并发症及死亡率之间存在相关性。主要风险因素为:血红蛋白低于10g%,肌酐大于1.5mg%。该分析表明术前强化治疗的必要性以及即使是术后轻微偏离“正常”状态也需立即纠正。