老年衰弱患者急诊手术的围麻醉期管理
Peri-anesthetic management of emergency operation in elderly patients with frailty
熊兴会 1周瑞豪 1郝学超 1朱涛1
作者信息
- 1. 四川大学华西医院麻醉手术中心,成都 610041
- 折叠
摘要
急诊手术患者术前的衰弱状态与术后并发症以及各种长期不良结局的风险增加有关.老年急诊手术患者病情重、进展迅速,术前应进行快速简易的衰弱评估,并及时作出相应的干预措施,有效改善临床预后.文章就老年急诊手术患者术前衰弱的定义、术前衰弱的评估与优化、术中与术后管理进行系统综述,以期提高临床麻醉医师对老年急诊手术患者术前衰弱的评估与管理,最大限度地改善患者的临床结局.
Abstract
Preoperative frailty in patients undergoing emergency surgery is associated with increases in the risk of postopera-tive complications and various long-term adverse outcomes.Elderly patients undergoing emergency surgery are severely ill with rapid disease progression.Fast and easy frailty assessment should be carried out before surgery and appropriate interventions made in time to effectively improve clinical prognosis.This article provides a systematic review of the definition of preoperative frailty,the assessment and optimization of preoperative frailty,and intraoperative and postoperative management in elderly emergency surgery patients,in an effort to enhance clinical anaesthesiologists'assessment and management of preoperative frailty in elderly emergency surgery patients,and achieve optimal improvement of patients'clinical outcomes.
关键词
老年患者/衰弱/急诊手术/围麻醉期Key words
Elderly patient/Frailty/Emergency surgery/Peri-anesthetic period引用本文复制引用
基金项目
国家重点研发计划(2018YFC2001800)
四川省自然科学基金(2023NSFSC0512)
出版年
2024
NETL
NSTL
万方数据