唐优仕.高龄心脏病患者行非心脏手术的麻醉处理[J].,2015,2(3):59-60.
高龄心脏病患者行非心脏手术的麻醉处理
Anesthetic management of elderly patients with heart noncardiac surgery
  
DOI:
中文关键词:  高龄心脏病;非心脏手术;麻醉处理
英文关键词:Elderly heart disease; non-cardiac surgery; Anesthetic Management
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作者单位
唐优仕 湖北省谷城县人民医院 
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中文摘要:
      目的:探讨70岁以上高龄心脏病患者行非心脏手术麻醉处理的特殊性。方法:回顾性分析我院近5年来收治的72例非心脏手术的高龄心脏病患者的临床资料,总结麻醉方式、生命体征及术后并发症等。结果:研究从患者实际情况出发,选择相应的手术麻醉措施。所有患者均完成手术,术后出现血液循环不稳定患者10例,需呼吸支持患者6例,神经功能障碍患者2例,无患者因麻醉死亡,术后死亡3例,1例为急诊患者,2例为择期手术患者。死亡率分别为9.09%和3.27%。结论:对于高龄心脏病患者的非心脏手术,一定要做好术前准备,了解患者的心脏状况,选择合适的麻醉方法,加强麻醉管理和维持心肌氧供需平衡,从而降低手术麻醉风险,保障老年患者的手术安全。
英文摘要:
      AIM:To explore the specificity of the elderly over 70 years of heart disease patients with non-cardiac anesthesia process.METHODS: The clinical data of 72 cases elderly patients with heart disease using non-cardiac surgery were analysed retrospectively recent five years. The , anesthesia method andvital signs and postoperative complications were summarized. RESULTS: The appropriate anesthesia measures were choosed according to Research combined with the actual situation of patients.The all surgery were completed,10 cases with unstable blood circulation, 6 cases with respiratory support,2 cases with neurological disorders, no patients died due to anesthesia,3 cases died, 1 case with emergency treatment, 2 cases with selective operation. Death rates were 9.09% and 3.27% respectively.CONCLUSIONS:The ardiac surgery in elderly patients with heart disease needed a good preoperative preparation,which must understand the patient's heart condition, select the appropriate method of anesthesia, strengthen the anesthesia management and maintain the myocardial oxygen supply and demand balance, thus reducing the risk of anesthesia to protect elderly patients surgical safety.
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