老年病人
1.Old have fewer complaints than young; but those chronic diseases which do befall them generally never leave them.
—— Hippocrates, 460——377 BC
【译文】与年轻人相比老年人很少抱怨，但那些慢性病一旦缠上他们就难以脱身。
【点评】也正因为老年人对病痛的忍耐性超强，因此耽误了一些疾病的早期诊断时机。
2.The aged, as we must never forget, are always lonesome ...they belong to the unforgiving past.They are as strangers in the land.
—— Alfred Worcester, 1855——1951
【译文】我们永远不要忘记，老年人总是孤独的……他们属于难以忘怀的过去，身处在当下的他们反倒犹如一位外人。
3.Long ago I learned from my father to put old people to bed only for as short a time as was absolutely necessary, for they were like a foundered horse; if they got down it was difficult for them to get up, and their strength ebbed away very rapidly while in bed.
—— Charles H.Mayo, 1865——1939
【译文】很久以前，我从我父亲那儿学到，只有在绝对必要时才把老人放在床上小睡一会儿，因为他们就像一匹将要倒下的病马，一旦卧床，其体能就迅速减退因而很难再站起来。
4.A German doctor explained this to me once using the card house analogy ...and I see this happen time and again with the super oldies in our ICU.These folks maintain a fragile system quite well until it gets disturbed.
—— P.O.Nystrom
【译文】一位德国医生曾经用纸糊的房子比喻老人向我解释过这事……在我们ICU的超龄老人身上，我也时常看到这样的情况发生——这些人在其平衡被打破前能完好地支撑着这个脆弱的身体系统。
5.The principles of minimal interference is paramount in the management of the elderly ...the older, more rigid personality is like a crystal easily shattered by unwise impacts.
—— David Seegal
【译文】在老年患者的治疗中，最小干扰原则最重要……人越老，其个性越来越硬，像水晶一样很容易被一些不明智的冲撞所击碎。
【点评】这是对老年患者心理特征的准确描述。(https://www.daowen.com)
6.Your old patient is like old wine: good vintage allowed him to reach an advanced age.Both are very sensitive to a faulty cork or excessive surgery.
【译文】老年患者犹如一瓶陈年老酒，存得久的必定是好酒。老酒须当心其糟腐的瓶塞，老人切忌做过度的手术。
【点评】过度医疗对老年患者危害至深。
7.The test for fitness for surgery in geriatric patients is to pull a sheet over their faces, and if they pull it down——they are fit!
—— David Dent
【译文】有个关于老年患者手术耐受性评估的简单测试，即把床单盖在患者脸上，如果他能把床单拉下来说明他可接受手术。
【点评】简单无害，不妨试试。
8.It is true that the elderly often have more health problems than younger patients, and they may have a greater need for surgery, but they also face agerelated bias when being evaluated for their medical and surgical needs.Age is only one aspect of evaluating a patient's risk for a procedure, and should not be the only factor that determines whether surgery is performed or not.Yes, age is important,but overall health, level of function, the severity of disease that is present and many other factors must be considered as well.
—— Verywellhealth
【译文】的确，老年人通常比年轻人有更多的健康问题，他们可能有更多的手术需求，但在评估其医疗和手术需求时，可能会面临与年龄相关的偏见。年龄只是评估患者手术风险的一个方面，不应该是决定是否进行手术的唯一因素。是的，年龄很重要，但是整体的健康状况、器官的功能水平、目前的疾病严重程度和许多其他因素也必须考虑在内。
9.Chronological age is one piece of the puzzle, as is the patient's individual level of risk of serious complication or death after surgery, the benefits of having the procedure, and the patient's ability to recover fully after the procedure.
【译文】以自然年龄评估患者是一个难题，预测患者手术后严重并发症或死亡的个体风险，评估手术收益以及患者在手术后完全康复的能力一样让医生困扰。
【点评】年龄是选择手术的重要指标，但并非唯一指标。
10.The aging of an organism is a progressive loss of adaptability as time passes.
—— Sir Grimley Evans
【译文】生物体的老化就是随着时间的推移逐渐丧失其适应能力的过程。