MacKenzie C R, Sharrock N E
Department of Medicine, Hospital for Special Surgery, Cornell University Medical College, New York, New York, USA.
Rheum Dis Clin North Am. 1998 Feb;24(1):1-17. doi: 10.1016/s0889-857x(05)70374-4.
Patients who suffer from chronic rheumatologic diseases, such as rheumatoid arthritis, frequently require orthopedic surgical intervention during the course of their illness. This article provides the reader with an overview of approaches to postoperative risk stratification. Reviewed are the basic concepts that underlie perioperative medical management, including such issues as the preoperative medical assessment, the currently employed anesthetic techniques, and approaches to postoperative analgesia. The impact of comorbid conditions on surgical outcome is discussed as are specific clinical problems that have particular relevance to the patient with rheumatoid arthritis.
患有慢性风湿性疾病（如类风湿性关节炎）的患者在病程中经常需要接受骨科手术干预。本文为读者提供术后风险分层方法的概述。回顾了围手术期医疗管理的基本概念，包括术前医学评估、当前使用的麻醉技术以及术后镇痛方法等问题。讨论了合并症对手术结果的影响以及与类风湿性关节炎患者特别相关的具体临床问题。
