Monaco A, Verna C, Gastaldi L, Moncelli G
Divisione di Chirurgia Generale, USSL 5-Ospedale di Giaveno (Torino).
Minerva Chir. 1996 Dec;51(12):1043-7.
The results of 93 elderly patients, subdivided in two age groups (> 65 < 80 years; > 80 years), undergoing abdominal surgery in immediate or delayed emergency over the past five years are reported. The overall morbility was 47.3% (48 complications in 44 patients); among the complications, sepsis was the first factor in frequency in either group (group I: 28.1%, group II: 17.2%), and was reported mostly in patients with associated diseases (group I: 61.1%, group II: 60%). Overall mortality was 16.2% (group I: 15.6%, group II: 17.2) related to 15 patients; among them, 10 had associated diseases (66.6%). The authors try to identify risk factors and their influence in prognosis and propose a multidisciplinary approach in the pre and postoperative period.
报告了93例老年患者的结果,这些患者在过去五年中接受了急诊或延迟急诊腹部手术,分为两个年龄组(>65<80岁;>80岁)。总体发病率为47.3%(44例患者出现48种并发症);在并发症中,败血症在两组中都是出现频率最高的因素(第一组:28.1%,第二组:17.2%),并且大多发生在患有相关疾病的患者中(第一组:61.1%,第二组:60%)。总体死亡率为16.2%(第一组:15.6%,第二组:17.2%),涉及15例患者;其中,10例患有相关疾病(66.6%)。作者试图确定危险因素及其对预后的影响,并提出围手术期的多学科方法。