Bauer H
Chirurgische Abteilung, Kreiskrankenhaus Alt/Neuötting.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:448-52.
Progress in perioperative management, anesthesia, surgical technique and intensive care have led to a continuous reduction in risk for geriatric patients. Thus advanced age itself means no higher operative risk and should not be a cause for excluding the elderly from greater curative procedures. But it is necessary to define a special strategy of treatment which takes the special situation of the elderly into consideration. Older people are very often high risk patients because they must be operated with advanced diseases. Earlier operations in the elective state, therefore, have great significance in the prevention of geriatric surgery.
围手术期管理、麻醉、手术技术及重症监护方面的进展已使老年患者的风险持续降低。因此，高龄本身并不意味着更高的手术风险，不应成为将老年人排除在更积极的治疗手术之外的理由。但有必要制定一种考虑到老年人特殊情况的特殊治疗策略。老年人往往是高危患者，因为他们必须接受伴有晚期疾病的手术。因此，在择期状态下尽早进行手术对于老年外科手术的预防具有重要意义。
