Decker P, Hirner A, Buermann J, Busch H, Lauschke H
Klinik und Poliklinik für Chirurgie, Bonn.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:425-30.
The results of selected elective and emergency operations of patients treated in the surgical department of Bonn University in 1994 and 1995 are presented and compared to the ASA-score. It was possible to show that old age itself is not a contraindication for major surgical interventions but that lethality mainly depends on concurrent diseases, i.e. the biological age. The numeric age is not an important factor. Physiological ageing only leads to diminished functional capacity, which can be partly compensated by more intensive care combined with early medical treatment. An age-specific factor which cannot be measured is the psychosocial age, the mental health. Mental health has an important influence on surgery in the aged patient.
本文呈现了1994年和1995年在波恩大学外科接受治疗的患者所选择期和急诊手术的结果，并与美国麻醉医师协会（ASA）评分进行了比较。结果表明，高龄本身并非重大外科手术干预的禁忌症，但死亡率主要取决于并发疾病，即生理年龄。实际年龄并非重要因素。生理衰老只会导致功能能力下降，而这可通过更强化的护理结合早期治疗得到部分补偿。一个无法测量的特定年龄因素是心理社会年龄，即心理健康。心理健康对老年患者的手术有着重要影响。
