摘要
目的总结硬膜外阻滞联合全麻在高龄冠心病(CHD)患者上腹部手术中应用的体会。方法回顾分析15例高龄CHD患者上腹部手术麻醉处理方案。结果15例患者麻醉过程中平均动脉压、心率和心率与收缩压乘积均较麻醉前不同程度下降,1例患者ST段明显改善,术中所有患者均无不良心血管事件发生。术后镇痛效果满意,无一例发生心绞痛或急性心肌梗死。结论硬膜外阻滞联合全麻用于高龄CHD患者上腹部手术能改善心肌氧供需平衡,且麻醉过程平稳,安全可行,值得推广。
Objective To summarize the effect of combination of epidural block and general anesthesia for upper abdominal surgery in elderly patients with coronary heart disease（ CHD ）. Methods The anesthesia schemes for upper abdominal surgery in 15 elderly patients with CHD were retrospectively analyzed. Results In the course of anesthesia, 15 patients＇ mean arterial pres- sure, heart rate as well as systolic blood pressure and heart rate product all decreased to varying degrees than before anesthesia, one patient＇ s ECG ST-segment improved significantly, and no adverse cardiovascular incident happened in all patients. Analgesic effect was satisfactory, and without a case of acute angina or myocardial infarction. Conclusions Combination of epidural block and general anesthesia can improve the balance of oxygen supply and demand of heart, and it is stable, safe and feasible for upper abdominal surgery in elderly patients with CHD, so it is worth popularization.
出处
《中华全科医学》
2008年第9期891-892,共2页
Chinese Journal of General Practice
关键词
硬膜外阻滞
全身麻麻
高龄
冠心病
上腹部
Epidural block
General anesthesia
Elderly
Coronary heart disease
Upper abdominal
