摘要
目的:探讨高龄肺癌患者开胸手术心律失常围手术期的预防和处理。方法:对46例70～85岁肺癌手术患者的资料进行回顾性分析。结果:术后心律失常始发时间出现于术后48h内占69.6%,其中窦性心动过速14例,室上性心律失常24例,室性心律失常3例,有5例表现为不同类型心律失常混合发作。全组无手术死亡。结论:高龄肺癌患者心肺功能储备差,开胸术中、术后易出现心律失常。但术前根据患者身体情况给予积极的处理,手术中注意保护心脏神经,消除术后缺氧和低钾血症等诱因是防止发生心律失常的重要措施,控制心室率是治疗的关键。
Objective： To study the perioperative management for arrhythmias after thoracic operation in aged patients with lung cancer. Methods： To analysis the data of 46 patients （age rang from 70-85years） with thoracic operation. Results： Most arrhythmias developed within 48 hours after operation, included 14 cases of sinus tachycardia, 24 of supraventricular arrhythmia and 3 of ventricular arrhythmia, 5 cases had complex arrhythmias. All patients recovered well. Conclusion： Arrhythmias are common complications in aged lung cancer patients with thoracic operation. Sufficiently perioperative preparation and protection of cardiac nerve in operation are important to prevent arrhythmia for thoracic operation in aged patients with lung cancer. The control of ventricular cardiac rate is key point of the treatment of this complication.
出处
《心血管康复医学杂志》
CAS
2007年第6期583-585,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
