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随着老年人口的增加,外科手术患者中老年人所占比例也有所增加,脑神经外科可以说也是如此。随着手术技巧、麻醉、手术前后管理的提高,即使是老年人也可进行侵袭性较大的手术。一般认为,如果患者在发病前或入院前自己可以处理家里身边的事情,可在房内外运动、步行,在户外也可进行某种程度活动,就是择期手术标准,而没有年龄本身的界限。老年人外科手术预后不良的原因,除心肺合并症外还可举出由急诊手术出现精神症状,但外科手术后良好的病例较多,所以对90岁以上的老年人也可积极推荐手术。在老年人脑神经外科疾病中,急诊手术除头部外伤外还有高血压性脑出血等脑血管障
As the elderly population increases, the proportion of older adults in surgical patients has also increased, as is neurosurgical surgery. With surgical techniques, anesthesia, and improved management before and after surgery, even the elderly can be more aggressive surgery. It is generally believed that if the patient can handle things around the house before or during his illness, he can exercise and walk outdoors and outside the home, and also have some degree of activity outdoors, which is the standard of elective surgery without the limitation of the age itself. The causes of poor prognosis in elderly surgery, in addition to cardiopulmonary complications can also be cited by the emergence of psychiatric symptoms of emergency surgery, but the surgery after a good number of cases, so 90 years of age or older can also be actively recommended surgery. In neurosurgical diseases in the elderly, emergency surgery in addition to head injuries and other cerebral vascular disorders such as hypertensive intracerebral hemorrhage