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眼科手术相关的死亡率和发病率。

Mortality and morbidity associated with ophthalmic surgery.

作者信息

Badrinath S S, Bhaskaran S, Sundararaj I, Rao B S, Mukesh B N

机构信息

Vision Research Foundation, Sankara Nethralaya Medical Research Foundation, Madras, India.

出版信息

Ophthalmic Surg Lasers. 1995 Nov-Dec;26(6):535-41.

PMID:8746575
Abstract

BACKGROUND AND OBJECTIVES

To study the mortality and morbidity among the patients undergoing ophthalmic surgery under local or general anesthesia.

MATERIALS AND METHODS

A retrospective analysis of all patients who underwent ophthalmic surgery at Sankara Nethralaya, Madras, India, between 1979 and 1988, was performed. Relevant details included the preoperative medical status of the patients (ASA status), type of surgical procedure, type of anesthesia, and intraoperative and postoperative complications.

RESULTS

The overall mortality rate was 1.15 per 1000. There was a decrease in the mortality rate from 2.09 per 1000 in the first 5-year period to 0.37 per 1000 in the second 5-year period. The factors significantly associated with mortality were hypertension, presence of cardiac pacemaker, renal disease, duration of surgery, type of surgery, and physical status (American Society of Anaesthesiologists classification).

CONCLUSION

Identifying the risk factors can help reduce the mortality in ophthalmic surgery.

摘要

背景与目的

研究在局部或全身麻醉下接受眼科手术患者的死亡率和发病率。

材料与方法

对1979年至1988年期间在印度马德拉斯桑卡拉奈特拉亚接受眼科手术的所有患者进行回顾性分析。相关细节包括患者的术前医疗状况(美国麻醉医师协会分级)、手术类型、麻醉类型以及术中及术后并发症。

结果

总死亡率为每1000人中有1.15人。死亡率从第一个5年期间的每1000人中有2.09人下降到第二个5年期间的每1000人中有0.37人。与死亡率显著相关的因素有高血压、心脏起搏器的存在、肾脏疾病、手术持续时间、手术类型以及身体状况(美国麻醉医师协会分级)。

结论

识别风险因素有助于降低眼科手术中的死亡率。

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