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1975年以来,有关老年人外科手术及全身麻醉的研究报告日益增多。曾有报导,老年人头颈外科的手术期死亡率(perioperative mortality rate,指在手术的30天之内死亡者)为1.3~13.6%;身体其他部位(包括髋骨骨折整复术、心脏手术、肺切除、结肠切除等)的手术期死亡率为4.8~26%,老年人头颈部手术似较安全。为了进一步判定65岁以上的老年人在全麻下行头颈部大手术的手术期死亡率,作者们收集了1970~1980年间的810例65~95岁的患者在全麻下行头颈部大手术的情况,手术期死亡29例
Since 1975, research on elderly surgery and general anesthesia has increased. There have been reports that the perioperative mortality rate of the elderly head and neck surgery is 1.3 to 13.6% of those who died within 30 days of surgery; other parts of the body (including hip fracture reconstruction, heart surgery, Pneumonectomy, colon resection, etc.) The operative mortality rate was 4.8 to 26%, and the head and neck surgery seemed safer in the elderly. In order to further determine the operative mortality rate of major head and neck surgery under general anesthesia in elderly people over 65 years old, the authors collected 810 patients 65 to 95 years old who had major head and neck surgery under general anesthesia from 1970 to 1980. In the case of operative death in 29 cases